Healthy Food, 
Healthy Community 
A Community Action Guide 
The Ontario Healthy Communities Coalition 
Second Edition 2006 
Th is document was prepared with funds provided by the Ministry of Health Promotion for the 
Province of Ontario. Th e information contained herein refl ects solely the views of the authors and is 
not offi cially endorsed by the Province of Ontario.
Reproduction 
You are free to copy, distribute or display this document and make derivative works under the following 
conditions: 
Attribution: You must credit the original author (Ontario Healthy Communities Coalition). 
Non-commercial: You may not use this work for commercial purposes. 
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For any reuse or distribution you must make clear to others the license terms of this work. 
Any of these conditions may be waived with written permission from the Ontario Healthy Communities 
Coalition. 
Acknowledgements 
Th is guide was originally produced by the Ontario Healthy Communities Coalition in 1997. Contributors 
to the fi rst edition included Lauren Baker, Phyllis Ingram, Krow Fischer, Katie Burnett, Cheryl Hanson, 
Toba Bryant and Emma Walker. Many others provided feedback on the draft manuscript and supported 
its development. We would like to acknowledge the excellent work of all the members of the original 
Healthy Food, Healthy Communities team. 
While some of the information contained in the original guide has been retained, a substantial amount of 
new material has been researched, compiled and written for this edition. We would like to acknowledge 
the following contributors to the second edition: 
Research and Writing: Lorna Heidenheim and Meridith Sones 
Reviewers: Tracy Allan-Koester, Th eresa Schumilas, Linda Davies 
Editing: Michelle Bullard 
Layout: MediaDoc Inc. 
Illustrations: Leslie Fraser 
Th anks also to all of the individuals and organizations that produced the numerous resources that were 
used to help create the content of this document, and to the OHCC staff and Board of Directors for their 
support of this project. 
Finally, we would like to acknowledge the fi nancial support provided by the Ontario Ministry of Health 
Promotion for the development and printing of this guide.
Table of Contents 
Introduction 
1. The Big Question . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 
2. What Is This Guide About? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 
3. Who Is This Guide For?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 
Part I From the Root Up: Community Food Security Defi ned 
1. Community Food Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 
2. Healthy Communities and Food Security. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 
Part II You Are What You Eat: Food and Our Health 
1. Food Security as a Determinant of Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 
2. The Social Gradient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 
3. The Link Between Food and Chronic Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 
4. Prevention Makes Cents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 
Part III Digging Deeper: Community Food Security Issues 
1. Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 
2. Obesity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 
3. Nutrition in Schools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 
4. Community Design and Food Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 
5. Food Production and Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 
6. Our Food System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 
7. Food Transportation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Part IV Recipe for Success: Strategies for Building Food Security 
1. The Healthy Communities Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 
2. Community Food Security Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 
3. Healthy Public Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 
4. Community Actions and Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 
Buy Local . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 
Fair Trade. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 
Community Gardens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 
Community Shared Agriculture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 
Community Kitchens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 
Gleaning Projects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 
School-Based Nutrition Projects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 
Food-Buying Clubs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 
Food Co-operatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 
Peer Education Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 
Part V Through the Grapevine: 
Learn More About Community Food Security . . . . . . . . . . . .41 
Part VI Glossary of Key Terms . . . . . . . . . . . . . . . . . . . . . . . . . . .51 
Part VII References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
1 
1. The Big Question 
Th e roots of hunger and malnutrition run deep. 
Each and every morning, an alarming number 
of people wake up wondering where their next 
meal will come from, and how they will feed 
their family. Th is challenge is a global crisis that 
penetrates deeply into both poor and wealthy 
nations. Th e struggle to access adequate amounts 
of safe and nutritious 
food is an obstacle that 
sits on the doorstep of 
many communities, 
both in Canada and 
beyond. As the number 
of undernourished people 
has grown, though, 
so too has our global 
food basket. In fact, the 
world is now collectively 
producing enough food to feed all the people on 
the planet.1 How is it, then, that more than 800 
million human beings do not have enough to eat 
in a world that produces enough food to feed every 
man, woman and child?2 If food supply is not the 
problem, why are so many people struggling to 
access the food they need to live a healthy life? 
Th is question was formally addressed in 1996 
during the World Food Summit in Rome. At 
the summit, 187 countries joined together in a 
commitment to eliminate hunger and cut the 
number of undernourished people throughout 
the world in half by the year 2015.3 Canada was 
included in this group of nations that publicly 
recognized food as a fundamental right of all 
people on earth. 
In response to this commitment, Canada’s Action 
Plan for Food Security was created. Since its release 
in 1998, Canada’s Action Plan has served as a 
long-term strategy to improve food security both at 
home and abroad. It takes a wide approach to food 
security, and includes issues related to food access, 
INTRODUCTION 
Stat Snack! 
“It is estimated that 
35,000 people around 
the world die each 
day from hunger, and 
a larger number of 
people suff er from 
malnutrition.”5
sustainable agriculture and rural development, 
trade, emergency prevention and preparedness, 
and promoting investment in the agri-food sector.4 
Canada’s Action Plan for Food Security is used as 
a guide by government departments, health units, 
schools, community organizations and others who 
are working to provide an adequate, nutritious and 
sustainable food supply. 
2. What Is This Guide About? 
Th rough this guide we hope to raise awareness of 
the importance of adequate access to nutritious 
food as a determinant of health and of community 
food security initiatives as a health promotion 
strategy. Th e guide is designed to educate and 
inspire Ontarians about community actions that 
promote food security. It raises many complex 
issues and challenges in community food security, 
but also provides information about many eff ective 
projects that are currently operating within the 
province. We have invited some of these groups 
to share their stories with others through this 
publication, and hope they will inspire individuals 
to initiate or join community food security 
programs in their own areas. While we have not 
provided step-by-step instructions for project 
development, we have proposed fi rst steps and have 
included a section on resources to help you fi nd out 
more about topics that interest you. 
3. Who Is This Guide For? 
Healthy Food, Healthy Communities is specifi cally 
aimed at individuals and community groups in 
Ontario who envision a food-secure community 
and want to support food security at the local 
level. Readers may come from a variety of 
backgrounds, such as community action centres, 
nutrition programs, health units, food industries, 
neighbourhood associations, community health 
centres or other community groups; however, we 
hope that anyone who is concerned about people 
who are experiencing hunger or who is interested 
in fi nding ways to enhance the quality of our food 
and our food experiences will fi nd something of 
value in this guide. 
2 Healthy Food, Healthy Community A Community Action Guide
FROM THE ROOT UP: 
Community Food Security Defi ned I 
3 
1. Community Food Security 
For the purposes of this guide, we have adopted the 
following defi nition of community food security 
(CFS): 
A situation in which all community 
residents obtain a safe, culturally 
acceptable, nutritionally adequate 
diet through a sustainable food 
system that maximizes community 
self-reliance and social justice.1 
Community food security is more than having an 
ample food supply. Th e following factors are also 
important elements of CFS: 
Accessibility 
Central to CFS is the ability of people to access the 
food required to live a healthy and productive life. 
Everyone deserves to be able to eat food that helps 
them achieve optimal health and well-being. In 
reality, however, people’s ability to access this type 
of food varies based on both its aff ordability and 
availability. An unhealthy diet is less often a matter 
of personal choice and more often a function of 
social and economic inequalities. In addition, 
a community’s food environment; i.e., the food 
options that exist in a given area, also determines 
what dietary choices are available. 
Acceptability 
CFS not only includes accessibility to food, but also 
considers whether the foods that people eat meet 
their individual needs. Th e acceptability of food can 
be looked at in diff erent ways. Is the food suitable 
from a cultural standpoint? Is the quality of food 
acceptable from a health and safety perspective? 
Both of these questions are important when 
considering community food security.
Sustainability 
In addition to identifying how food is accessed, 
CFS also looks at the sustainability of the food 
system; in other words, whether the current food 
system ensures a safe and high quality food supply 
for both now and the future.2 Th e way in which 
food is produced, distributed and purchased can 
have a major impact on the health and well-being 
of producers and consumers. Th e food system 
also aff ects the quality of the air we breathe, the 
water we drink, the biodiversity and balance in 
our ecosystem and the vitality of our natural 
environment. 
Together, the degree of accessibility, acceptability 
and sustainability of our food supply determines 
the level of food security of our communities.3 
Our understanding of these factors is important 
to making the link between CFS and healthy 
communities. Th ey 
help us grasp how 
community food 
security is grown 
from the root up, 
which is vital to 
building long-term 
solutions that promote a healthier future for 
communities across the province. 
“Hunger is more than just the 
physical desire for food. People 
hunger for mental, social, emotional 
and spiritual food too.”4 
Food is more than a commodity that we consume 
at breakfast, lunch and dinner. It is symbolic and 
carries signifi cant social and cultural meaning. 
Th erefore, lack of access to culturally appropriate, 
nutritious and safe food can aff ect more than just 
our physical health. 
Th e inability to access the right quality and 
quantity of safe and suitable food, combined 
with lack of control over one’s food situation, is 
called food insecurity.5 Although the eff ects of 
food insecurity begin at the individual level, these 
consequences can quickly ripple to undermine the 
physical, mental, emotional and environmental 
health of families and communities. In a 
recent study, food-insecure families identifi ed 
feelings such as powerlessness, guilt, inequity, 
embarrassment, anxiety and frustration related 
to their failure to access the food they needed.6 
When people were unable to access a suitable 
food supply, because of either aff ordability or 
availability, both their physical and psychological 
well-being were aff ected, leading to a general sense 
of impoverishment.7 When groups of people have 
access to the food they need, they are able to live 
happier and healthier lives. 
2. Healthy Communities and Food Security 
A vision of a Healthy Community always includes a 
multitude of ways to access healthy food, but there 
are many other benefi ts that arise from creating 
food security through a Healthy Communities 
process. Th ese include: 
• enhanced personal health 
• economic development 
• more meaningful jobs 
• increased community spirit 
• reduced overlap and duplication in 
services and programs 
• increased viability of smaller family 
farms 
• protection of rural culture 
• improved water and air quality 
• economic and environmental stability 
• safe and supportive communities8 
4 Healthy Food, Healthy Community A Community Action Guide
Th ere are many common elements among Healthy 
Community and community food security 
initiatives, such as: 
• acknowledgement of access to healthy 
food as a basic need and an important 
determinant of health 
• recognition of the inter-relationship of 
economic, environmental and social 
issues 
• incorporation of the principles of the 
Ottawa Charter for Health Promotion, 
which promotes building of healthy 
public policy, creating supportive 
environments, strengthening 
community actions and developing 
personal skills 
• emphasis on multi-sectoral 
participation; a food-secure community 
requires co-operation among all those 
involved in the food system, including 
growers and producers, citizen groups, 
community agencies, governmental 
organizations, businesses, academic 
researchers and environmental 
advocates 
• promotion of adequate incomes for 
both consumers and producers 
• promotion of local and diverse food 
production 
• promotion of environmental 
sustainability and the protection of 
local agricultural lands and fi sh habitat 
• support eff orts to improve to improve 
water and air quality and reduce 
greenhouse gas emissions 
• support for food-based community 
economic development.9 
People who support community food security 
advocate for a food system where both individual 
and collective needs are met. Community food 
security approaches the issue of food access from 
a population health perspective, and seeks to 
reduce health inequalities through 
the pursuit of social justice.10 
Advocates for community food 
security come from a variety 
of disciplines, professions and 
organizations, which adds valuable 
diversity to our understanding 
of the problems and issues.11 By 
working together to increase food 
security at the community level, 
we are helping to establish safe and supportive 
environments in which we, our children and our 
grandchildren can thrive. 
Part I From the Root Up: Community Food Security Defi ned 5
6 Healthy Food, Healthy Community A Community Action Guide
YOU ARE WHAT YOU EAT: 
Food and Our Health II 
7 
1. Food Security as a Determinant of Health 
“Societies that enable all citizens 
to play a full and useful role in the 
social, economic and cultural life of 
their society will be healthier than 
those where people face insecurity, 
exclusion and deprivation.”1 
How is good health generated? Are people 
unhealthy by choice? What factors are responsible 
for the growing gap between those who are healthy, 
and those who are not? Th ese are important 
questions to ask when considering the growth 
of healthy communities. While behavioural 
patterns such as diet and exercise, the genes we 
inherit and our access to healthcare are important 
determinants of health, the most powerful 
predictors of health are related to the social, 
economic, physical and political environments 
in which we live.2 Th ese factors determine our 
ability to make choices that support a healthy and 
productive life, and are often referred to as the 
social determinants of health. 
Th e social determinants of health interact with 
behavioural patterns to shape our understanding 
of how health disparities within communities are 
generated.3 Th e social determinants include, but 
are not limited to, the following: 4 
• income and income distribution 
• social inclusion and exclusion 
• employment and working conditions 
• unemployment and job insecurity 
• health services 
• the social safety net 
• early life and childhood care 
• education 
• housing 
• food security
Th e social determinants of health do not operate 
in isolation of one another. Several factors may 
impact the same individuals or populations at the 
same time. For example, a recent health survey of 
Canadians found that the odds of reporting food 
2. The Social Gradient 
Th e health inequalities that are apparent between 
diff erent rungs of the social ladder are collectively 
referred to as the social gradient.7 Various patterns 
of health behaviours and outcomes are revealed 
along this grade. For example, when it comes to 
diet, those at the bottom of the social gradient are 
more likely to sacrifi ce quality for aff ordability 
by replacing fresh food with cheaper, processed 
foods. In terms of overall health, individuals who 
sit lower on the social gradient have a shorter life 
expectancy, and face a greater risk of disease and 
premature death than those at the top.8 In general, 
people who are higher on the social ladder live 
longer, healthier lives than those below them. 
Statistics Canada’s Findings from the Canadian 
Community Health Survey reported that “Adults in 
3. The Link Between Food and Chronic 
Disease 
Good nutrition is essential to good health. 
Malnutrition has a negative impact on the 
overall physical health of those who suff er from 
it, particularly by increasing the risk of disease. 
Th ese eff ects are not only products of hunger; 
malnutrition occurs in instances of both food 
poverty and food plenty.13 Hunger can lead to 
defi ciency diseases related to poor intake of 
micronutrients such as vitamin A and iron.14 
On the other hand, excess food intake is a major 
cause of obesity and various chronic conditions.15 
Chronic diseases are long-term illnesses that are 
diffi cult and often impossible to cure and include 
cancer, cardiovascular disease, diabetes, kidney 
disease and respiratory illnesses.16 Chronic diseases 
insecurity increased with declining income and 
reliance on social assistance.5 Th is “clustering 
of disadvantage” within populations creates a 
widening gap between those who are healthy, and 
those who are not. 6 
the highest income households were less likely than 
those in the lowest to have fewer than fi ve daily 
servings of vegetables and fruit”.9 
As the gap between the rich and poor continues to 
grow in Canada, the overall level of food security 
among Canadians and their families is declining.10 
Th e social and economic imbalances between 
diff erent groups within society aff ect more than 
individual health status; they actually bring down 
the general health status of the whole population.11 
By investing in the social determinants of 
health, we can improve the well-being of these 
underprivileged populations and, in turn, provide 
health benefi ts for all Canadians.12 
are the leading cause of death and disability 
worldwide, and are a growing threat to the health 
and well-being of Canadian communities.17 
Stat Snack! 
• Cancer, cardiovascular disease, diabetes, kidney 
disease and respiratory diseases are the cause of 
75% of deaths within Canada.18 
• Low-fat diets that are high in fruits and vegetables 
have been found to reduce the risk of heart 
disease, obesity, certain cancers, stroke and other 
vascular diseases.19 
8 Healthy Food, Healthy Community A Community Action Guide
In addition to an unhealthy diet, there are other 
factors that predispose individuals to chronic 
disease, such as: 
• high blood pressure 
• high cholesterol 
• obesity 
• physical inactivity 
• tobacco 
• alcohol 20 
It is also important to recognize the importance 
of social risk factors. Th ey are listed below, with 
an example of how each one can have a negative 
impact on individual health.21 
Social and economic conditions, such as poverty, 
employment, family composition 
Example: Low-income families and those who face 
unsteady employment often fi nd preventative diets 
(such as those high in fresh fruits and vegetables) 
unaff ordable. 
Environment, such as climate and air pollution 
Example: Th e high reliance on long distance 
food imports into cities increases greenhouse gas 
emissions and air pollution, which contributes to 
asthma and other respiratory conditions.22 
Culture, such as practices, norms and values 
Example: Increasingly busy in their daily lives, 
many people have less time to prepare foods and 
pack lunches for their children. In fast-paced 
Western culture, fast-food alternatives that are 
marketed as convenient and aff ordable become 
more attractive for families with busy schedules. At 
the same time our valued rural cultures are being 
lost as family farming becomes less viable in a 
consolidated and globalized system. 
Stat Snack! 
• Northern Ontarians experience 51% higher rates 
of heart disease than the Ontario average.25 
• Franco-Ontarians are more likely to be 
overweight than other Ontarians.26 
• Over half of Waterloo Region residents consume 
fewer than the daily recommended number of 
servings of fruits and vegetables. 27 
Urbanization, such as housing, access to products 
and services 
Example: Low-income housing clusters poor 
and vulnerable groups together in areas that lack 
supermarkets and have a higher concentration of 
convenience stores.23 Food is about 1.6 times more 
expensive in convenience stores than in grocery 
stores and healthy food options are more limited.24 
Th e risk factors for chronic disease aff ect certain 
populations more than others. As a result, health 
diff erences can be seen 
between diff erent regions 
Stat Snack! 
and groups of people 
within Canada. 
• 80% of all 
chronic disease 
is preventable 
through low-cost 
strategies.29 
Part II You are What You Eat: Food and Our Health 9
4. Prevention Makes Cents 
In addition to being among the most common 
health problems facing Canadians, chronic 
diseases are also the most expensive. Each year, 
chronic disease costs Canadians $28 billion 
and is estimated to account for 55% of Ontario 
healthcare costs.28 Prevention can pay off in 
many ways. In addition to reducing the fi nancial 
burden on the healthcare system, it enables and 
encourages healthy lifestyle behaviours that 
increase individual health and support well-being. 
Healthier individuals make healthier communities. 
Disease prevention is therefore in everyone’s best 
interests, and is crucial to the future growth and 
sustainability of healthy Ontario communities. 
10 Healthy Food, Healthy Community A Community Action Guide
DIGGING DEEPER: 
Community Food Security Issues III 
11 
“Life is short where its 
quality is poor.”1 
Food insecurity is a product of poverty. When 
families are on a limited income, they are forced 
to prioritize their basic needs in order to survive. 
Since shelter costs are fi xed, these expenses often 
move to the front of the household budget and take 
precedence over all other needs, including food.2 
Th is is a serious concern, as the growing shortage 
of aff ordable housing in Canada is causing more 
and more people to spend a greater portion of their 
income on housing.3 After shelter costs have been 
paid, often the remaining income must be thinly 
spread over the remaining costs of living. As a 
result, other determinants of health are weakened, 
which opens the door to food insecurity. Mothers 
often carry the burden of food insecurity fi rst, as 
they attempt to avoid hunger for their families. To 
make the food budget bigger, mothers may attempt 
to free up income by selling their possessions or 
giving up services that are often taken for granted 
by many people, such as the telephone.4 Th ey 
may also attempt to lessen the weight of hunger 
by cutting portion sizes and altering recipes to 
“stretch” a meal.5 Many families rely on food banks 
for their food, while some mothers may go hungry 
themselves so their children have something to 
eat.6 
Th e Ontario Nutritious Food Basket is a food 
costing tool that can be used to measure the 
cost of healthy eating based on current nutrition 
recommendations. Th e food basket includes 66 
food items from all four food groups from Canada’s 
Food Guide to Healthy Eating. Th e food items were 
selected from among those frequently purchased 
by Canadians and based on nutrient value, cost and 
availability in supermarkets across seasons. Along 
with income and rent rates, the cost of a nutritious 
food basket is an essential tool in assessing the 
aff ordability of a healthy diet. For example - it costs 
about $112 per week for a family of four to eat 
healthy in Waterloo Region (about $485/month). 
1. Poverty
Th is amount only includes basic foods and assumes 
that people have the resources to access, store 
and cook the food. It also assumes no food is 
purchased at restaurants outside the home.7 For 
other Nutritious Food Basket reports prepared 
by other public health units see FoodNet at www. 
opha.on.ca/foodnet/initiatives, the internet-based 
resource centre of the Food Security Workgroup at 
the Ontario Public Health Association (OPHA). 
According to data collected by Opportunities 
Waterloo Region, a local poverty reduction group, a 
family on social assistance or working at minimum 
wage may fi nd it diffi cult to aff ord the quality and 
quantity of food necessary to meet their energy and 
nutrient needs.8 
Stat Snack! 
In 2000, Toronto food bank 
users spent an average 
of 63% of their monthly 
income on shelter costs.9 
Children at Risk 
Unfortunately, many children are not protected 
from poverty and the food insecurity that it 
can create. It is estimated that one out of every 
fi ve children in Canada lives in a home that 
reports incomes below the poverty line,10 which 
indicates that many children are likely to be food 
insecure. Homeless children, along with those 
who are part of lone-parent families, are at an 
even greater risk of poverty and food insecurity. 
Poor nutrition places children in danger of many 
negative outcomes, including decreased academic 
performance, violence, developmental challenges 
and limited job success 
in adulthood.11 Children 
who suff er from poverty 
face an increased risk 
of health and learning 
problems through their 
entire lifetime, impacting 
Stat Snack! 
Child poverty among 
female lone-parent 
families is 43%.12 
their ability to live happy, healthy and productive 
adult lives. 
Individuals at Risk 
In addition to food insecurity, poverty is also linked 
to other challenges that threaten the health of 
individuals, including: 13 
• unstable employment and low wages 
• stressful and dangerous working 
conditions 
• less access to basic needs such as 
education, transport and decent housing 
• less access to recreational opportunities 
• increased risk of addiction, illness and 
premature death 
Th e above challenges lessen an individual’s 
ability to fully participate in social, economic, 
political and cultural life. Th is is referred to as 
social exclusion. Social exclusion is a product of 
inequalities that exist between individuals and 
groups in society. Th ese inequalities can arise 
out of oppression related to race, class, gender, 
disability, sexual orientation, immigrant status 
and religion.14 Social exclusion can undermine the 
health of both individuals and whole populations. 
Populations at Risk 
“It is the poorest and most 
vulnerable members of society 
– the people with no voice – who 
are the most likely to be food 
insecure and the most powerless 
to change their circumstances.”15 
Increased risk of food insecurity is related to 
diff erences in income that exist between various 
populations in Canada. Populations that are 
particularly vulnerable are Aboriginal people 
and new Canadians. Visible minorities earn 30% 
less than white people and are twice as likely to 
be poor.16 Closing this income gap between poor 
and wealthy groups is important to building 
healthier and more inclusive communities. When 
resources are stretched more evenly throughout 
a community, self-esteem and empowerment 
12 Healthy Food, Healthy Community A Community Action Guide
also spreads to a greater portion of its members.17 
When people feel a greater sense of belonging in 
their community, they also have a more positive 
perception of their physical and mental health.18 
Lessening the burden of poverty will help people 
feel better about themselves, and encourage equal 
access to the resources they need to live a healthy 
life. 
2. Obesity 
“A candy bar or an apple? 
Th e choice is simple when you 
are a seven-year-old.”19 
Th e majority of Canadian adults and children are 
overweight20 and an alarming number of them are 
facing the associated health consequences. Obesity 
is linked to various chronic conditions, such as 
cancer, heart disease, hypertension, diabetes, 
asthma and orthopaedic injuries.21 In addition to 
physical consequences, the eff ects of obesity can 
also have a negative impact on self-image and 
mental health.22 
Stat Snack! 
In the U.S., about $1 
million a year is spent 
to advertise the fi ve 
to 10 a day campaign 
encouraging the 
consumption of fruits 
and veggies, while $10 
billion a year is spent 
advertising processed 
and junk foods.25 
Several factors contribute 
to the obesity crisis in 
Canadian communities. 
Th e excess consumption 
of energy-dense fats and 
sugars, typical of the 
North American diet, is a 
major cause of obesity.23 
For poor and food-insecure 
populations, the 
consumption of these 
foods is the cheaper, and 
often only, alternative 
to purchasing costly nutritious foods. However, 
there are reasons other than income constraints 
that encourage us to reach for unhealthy foods. For 
example, more money is spent on advertising for 
processed foods and junk foods than for nutritious 
foods.24 Fast foods are marketed based on their 
convenience, making them more appealing for a 
high-paced society where “time is money.” 
A large portion of this advertising is targeted at 
children, which is contributing to the immense 
problem of childhood obesity in the country. In 
1999, a national survey found that over one-third 
of children aged two to 11 were overweight.26 Th is 
study found that children living in low-income 
families were more likely to be overweight and 
obese, while lack of physical activity was also 
found to be a factor in 
child obesity.27 As obese 
Stat Snack! 
and overweight children 
are much more likely to 
About 80% of food 
become obese adults, 
commercials aired on 
an alarming number of 
Saturday morning kids’ 
Canadian children are 
TV shows are for foods 
of low nutritional value, 
potentially at risk of 
such as high-sugar 
health problems later in 
cereals and candy.28 
life. 
Part III Digging Deeper: Community Food Security Issues 13
3. Nutrition in Schools 
Canadian children are becoming increasingly 
overweight.29 Sadly, many are exposed to poor 
nutrition each and every school day. Th e level of 
food security found within schools is questionable, 
as access to healthy lunches and snacks is often 
minimal. 
A review of elementary school vending machines 
found that the majority of the foods and beverages 
off ered in schools were nutrient-poor, high in fats 
and added sugars, and of increased portion size 
not necessary for young children.30 Th ese foods 
are readily available to youth who often do not 
understand the consequences of eating them and, 
in many cases, do not have access to healthier food 
choices. 
In addition to the costs of growth and development, 
poor nutrition also has a negative impact on 
Stat Snack! 
Approximately 27% of 
boys and 23% of girls 
in Grade Six to Eight 
consume candy and 
chocolate bars daily.31 
social behaviours and lower rates of suicide and 
depression, and are more likely to graduate from 
school.33 Healthy children are more likely to grow 
into healthy adults. 
When schools fi ll their vending machines with junk 
food, they are missing a valuable opportunity to 
encourage their students 
to make nutritional 
Stat Snack! 
choices and acquire 
healthy habits that can 
Approximately 31% 
last a lifetime. 
of elementary school 
students and 62% of 
A recent study found 
secondary students 
that students from 
do not eat a nutritious 
schools participating in 
breakfast before 
a school-based nutrition 
heading to school.34 
program showed lower 
rates of obesity, had healthier diets and reported 
more physical activities than students from schools 
without nutrition programs.35 
Th is issue of food security in schools is complicated 
by the fact that many students are showing up 
to school hungry. Th is could be a result of many 
factors, such as lack of food options in the home 
or a hectic family schedule that results in children 
skipping breakfast. School-based nutrition 
programs, which are discussed later in this guide, 
are addressing this issue and are showing some 
promising results. 
a child’s ability and 
motivation to learn and 
focus at school. Th ose 
who don’t get enough to 
eat are more tired than 
those who do, have a 
shorter attention span 
and don’t learn to solve 
problems as well.32 On the 
contrary, healthy children have improved literacy 
levels, lower incidence of violent and negative 
4. Community Design and Food Security 
Land use, community design and transportation 
planning have an impact on our health in relation 
to disease and injury as well as quality of life. 
For example, communities that lack sidewalks, 
park space, bike lanes and recreation programs 
are creating fewer opportunities for people to be 
active.36 
Another example is the location of local markets 
and supermarkets in our communities, and the 
impact it can have on our dietary patterns. Th e 
rise of large-chain grocery stores and closure of 
small suppliers has created “food deserts” in many 
communities.37 When grocery stores become 
bigger in size but fewer in number, they become 
more diffi cult to access, particularly for people 
who rely on public transportation. In low-income 
14 Healthy Food, Healthy Community A Community Action Guide
communities, families often end up relying on 
the convenience store on the corner, where fresh, 
healthy options are few and far between. 
In a recent survey of convenience stores, Region 
of Waterloo Public Health found that healthy food 
items were less available 
compared to grocery 
stores and fruits and 
vegetables were the least 
available foods. As well, 
food at convenience 
stores is about 1.6 times 
more expensive than 
grocery stores.38 
So called “complete communities”, as described 
in Ontario’s Growth Plan for the Greater Golden 
Horseshoe, integrate land use by having retail, 
offi ce, residential, open space, schools and services 
within the same area. Mixing land uses in this 
way promotes greater physical activity by allowing 
residents to complete daily tasks by walking, 
cycling or using public transit. Because of their 
greater densities and vital retail markets, such 
communities can attract more small shops closer 
to where people live. Th is means food stores 
can be attracted into these areas so that there is 
greater availability of healthy food to community 
members.39 
When paired with initiatives to ensure the viability 
of family farms, such as buy local initiatives, 
such compact urban development becomes a key 
strategy in preserving agricultural land and culture, 
strengthening rural economies and reducing 
reliance on food imports. 
“The Skinny” on Supermarkets 
Th e design and planning of our physical 
environment infl uences the foods we purchase 
and eat, even while grocery shopping. Many of the 
products sold in supermarkets are intentionally laid 
out to infl uence how we spend our money. Food 
companies actually buy shelf space from retailers, 
and pay signifi cant amounts of money to put their 
products in high-traffi c areas of the store where 
they are visible to the most shoppers.40 Generally, 
healthy and nutrient-rich foods sit around the 
outside of the store, while unhealthy processed 
foods are placed conveniently in the centre. Th ese 
“junk” foods may be nutritionally inadequate 
but they have the highest profi t margins, and are 
wrapped in attractive packaging and placed where 
they can be easily seen and easily bought.41 
5. Food Production and Safety 
“Only if agriculture is practiced 
sustainably now will future 
generations have a chance to 
exercise their fundamental 
human right to food.” 42 
Th e availability of food that has been produced 
in a safe, sustainable and environmentally sound 
manner is vital to community food security. Th e 
way in which food is grown can have a major eff ect 
on social, economic and natural environments. At 
one time, food was produced on farms that were 
mainly operated by manual labour and focused 
on serving the local area. However, during the 
past 20 years, food production in Canada has 
become intensely mechanical and industrial. Local 
agriculture has given way to big business, and food 
is now a major part of world trade. As a result, 
Canadians are losing their connection with how 
their food is being grown and the farmers who are 
growing it. Biological and technical changes to how 
food is produced are threatening the food security 
of people from all walks of life – not just the poor. 
Th e modern method of food production raises 
issues of food safety and sustainability that can 
challenge food security on a global scale, such as: 
Part III Digging Deeper: Community Food Security Issues 15
Chemical Food Contamination 
Chemical contamination during the 
growing process can occur unintentionally 
from air, water or soil pollution, or 
intentionally through the use of pesticides, 
fertilizers and other harmful chemicals.44 
Human exposure to these toxic chemicals 
has been linked to a variety of conditions, 
including cancer, heart disease, kidney and 
liver dysfunction, hormonal imbalance, 
birth defects, mental health problems and 
learning disabilities.45 
Eff ects of Biotechnology and Genetic 
Engineering 
Modern agriculture often involves the 
crossing of gene material from diff erent 
plants and animals. Consumers have raised 
concerns that genetically altered foods may 
potentially expose them to food allergies 
and other health hazards.46 Despite the 
potential for this technology to impact 
the safety, sustainability, accessibility, 
aff ordability and democracy of our food 
system, there is a lack of scientifi c literature 
in this area. Th e broader view of health 
and health promotion is rarely referred to 
in federal government or industry material 
about food biotechnology.47 
Food-Borne Disease 
A considerable portion of the world’s food 
production is now done by a select number 
of large-scale manufacturers. Th is allows 
for the potential spread of food-borne 
disease to a great number of consumers at 
once. Now that food is traded globally on a 
daily basis, it can become contaminated in 
one country but cause outbreaks of food-borne 
illness in another.48 
Impact on the Natural Environment 
Pollution from agricultural practices, 
such as the use of synthetic pesticides, 
synthetic fertilizers and soil and manure 
runoff associated with poor management, 
disrupts land and water ecosystems and 
changes wildlife populations. Pesticides kill 
more than the organisms that are targeted, 
especially birds and insects.49 
Th e use of harmful chemicals throughout 
food production has an impact on the 
entire ecosystem. In addition, genetically 
modifying foods during the growing 
process can lead to “genetic pollution.” 
Th is refers to the dangerous introduction 
of foreign organisms into the natural 
environment, which can upset the fragile 
balance of the ecosystem and pose a threat 
to biodiversity.50 
Food production is only one part of the bigger 
picture of how food travels from the earth to 
our plates. Sustainability needs to be achieved 
throughout all levels of the growing process, 
including production, processing and distribution. 
Sustainable agriculture 
refers to a food system 
that is economically 
viable, socially just and 
ecologically sound.51 
Th is will ensure that the 
present needs of society 
can be met without sacrifi cing the needs of future 
generations, and will help to build and maintain 
healthy Ontario communities for years to come. 
16 Healthy Food, Healthy Community A Community Action Guide
6. Our Food System 
“Less than 10% of the average 
Canadian’s disposable income is 
spent in the supermarket, making 
it one of the lowest costing food 
baskets in the industrial world.”52 
Food is big business. In fact, farming is Ontario’s 
second-largest economic sector.53 Thirty-seven 
thousand Ontario farmers grow food that will 
be enjoyed by people around the province and 
around the globe.54 The process by which food 
is grown in the farmer’s fi eld and transported to 
the tables of Ontarians has changed dramatically 
since the previous generation of farmers. 
Th e food production system has become more 
technologically sophisticated, which allows farmers 
to yield high levels of crops. Yet the technology 
itself is very expensive, 
therefore making it 
out of reach for all but 
large-scale “corporate” 
farms. In Ontario, small-scale 
family farms are 
struggling to keep up and 
many are being forced 
Stat Snack! 
“Between 1951 and 
1996 the number of 
farms in Huron County 
declined by 45%.”55 
out of business. Th e number of farms in Ontario is 
declining, while the size of the remaining farms is 
increasing.56 
Increased prices of equipment, fertilizer, gasoline 
and labour have created production costs that 
often surpass the income of smaller farmers.57 Low 
returns on investment make it diffi cult for these 
farmers to support their families, let alone sustain 
their businesses. As a result, farmers are forced to 
consider more profi table options, such as selling 
valuable land to developers. Given that farms are 
usually located on the outskirts of urban centres, 
rural communities are becoming increasingly 
vulnerable to land development and urban sprawl. 
Adding to the vulnerability of small farms are other 
trends in the provincial farming industry, such as 
increased competition for available land, problems 
with fi nding and retaining quality labour, and a low 
level of public awareness and support for farming.58 
Over the past several years, the eff ects of 
competition and subsidies in the global 
market have reduced the prices of agricultural 
commodities to record low levels. As a result, the 
market price of many locally grown food products 
may not refl ect all of the production costs, making 
it diffi cult for farmers to earn a living and keep 
their farms viable. Smaller farms are disappearing 
and those left are fi nding it increasingly diffi cult 
to compete with larger farms and the subsidized 
commodities from other countries. Agricultural 
policies and regulations tend to refl ect the 
interests of the larger, corporate farms. As a result 
of all these factors, farmers are facing a great 
deal of stress and major fi nancial concerns and 
there is a great loss of young people from rural 
communities.59 
Broader political and social issues are refl ected 
in the current trends of the agricultural industry. 
For example, municipal bylaws often dictate 
where and to what scale farms can operate. From 
a social perspective, consumers perceive farming 
as undesirable and are prioritizing cheap food over 
the economic health of those that are growing it. 
Ontario is now witnessing the rise of bigger, more 
intensive farms that tend to be less sensitive to 
environmental and local community needs. 
Farmers do more than just produce food for people 
to enjoy; they help to sustain healthy communities 
by creating jobs, supporting the local economy and 
conserving natural resources, such as water, soil 
and trees. However, given the current challenges 
facing them and their families, there is little 
motivation for younger generations to carry on a 
family tradition of farming. We are losing skills and 
knowledge, and the future of farming is at stake. 
By exercising our purchasing power and making 
choices that support our communities, such as 
buying local food, we can show that we care about 
the future of Ontario farming. 
Part III Digging Deeper: Community Food Security Issues 17
7. Food Transportation 
“Before you’ve fi nished your 
breakfast this morning, you’ll 
have relied on half the world.”60 
When you reach for your morning coff ee, have you 
ever wondered what it took to get the coff ee beans 
from the earth into your espresso? Canadians make 
food purchases on a daily basis that aff ect energy 
consumption. During 
the past three decades, 
Canadians have reached 
for an increasing number 
of food products that 
have been imported 
from great distances.61 
For example, a recent 
study of imports of 31 
commonly-eaten foods capable of being grown or 
raised in Waterloo Region tracked the distances 
travelled. Imports of the studied foods traveled 
an average of over 4,500 km and generated an 
average of 1.8 kg of greenhouse gases for every kg 
of food imported. Th ese foods generated a total of 
over 50,000 tonnes of greenhouse gas emissions 
annually – equal to the average emissions of 
over 16,000 cars on our roads each year.62 Th e 
importing of food over long distances raises several 
environmental, health and moral challenges. 
Our Environment 
Our dependency on fossil fuels to produce, package 
and distribute food is a signifi cant contributor 
to greenhouse gas emissions and air pollution. 
Transportation accounts for one-quarter of 
Canada’s energy consumption and produces 
one-quarter of our greenhouse gas emissions, 
more than any other sector of the economy.63 
Greenhouse gases, such as carbon dioxide and 
methane, trap heat in the atmosphere and cause 
climate change by raising global temperature.64 
Our Health 
Th e pollution that results from importing food 
over great distances decreases the quality of the 
air we breathe, and therefore has negative eff ects 
on our health. Th e burning of fossil fuels emits air 
pollutants and smog, while also helping to deliver 
aeroallergens such as pollen, mould and dust into 
the body.65 Unhealthy air masses cause respiratory 
damage and lead to the rise and aggravation of 
asthma and other related diseases. 
Our Food 
To accommodate for the distance food must travel, 
producers rely heavily on chemicals and processing 
to reduce spoilage before the food reaches the 
marketplace.66 Th e introduction of pesticides and 
food processing and other harmful chemicals 
into produce has negative consequences on our 
ecosystem and the safety of the food we eat. 
Our Global Community 
As local food systems decline, rich countries are 
becoming increasingly dependent on developing 
nations for their food. Th is relationship is often 
exploitive for Th ird World countries. For example, 
world trade policies allow rich countries to charge 
high taxes on imported goods. Th is controls the 
amount that poor countries can aff ord to export 
and limits their share of the world market to raw, 
less-profi table goods.67 Th is is destructive for local 
economies of Th ird World nations and the small-scale 
farmers who work within them. 
Increased trade in developing countries has also 
drawn millions of people into the labour force, 
where employees often face unsafe and exploitive 
working conditions. Lack of labour rights in these 
nations can expose workers to insecure contracts, 
intense production pressure, and intimidation in 
the workplace.68 
18 Healthy Food, Healthy Community A Community Action Guide
RECIPES FOR SUCCESS: 
Strategies for Building Food Security IV 
19 
Th roughout this guide, we have explored the roots of community food security in order to grow our 
understanding of its underlying meaning and importance. In addition, we have looked at how food 
security is linked to other social, economic and health factors. Now that we have a better appreciation of 
the issues, our next step is to put our knowledge into action! 
1. The Healthy Communities Process 
What does the path to healthier Ontario 
communities look like? Healthy Communities is a 
process by which a community determines its own 
issues, needs and action plans, using an approach 
that includes four fundamental characteristics: 
Wide Community Participation: Community 
participation in community planning and decision-making 
is essential for there to be a high quality of 
life for all. 
Broad Involvement of All Sectors of the 
Community: Each fi nding ways in their day-to-day 
activities to contribute towards the goal of a 
healthier community. For food security, this could 
involve partnership and co-operation with farmers, 
social and health organizations, environmental 
groups, local residents, and business and labour 
organizations, among others. 
Local Government Commitment: Th e mayor and 
local councillors should be committed to building 
a healthier community. Each department (e.g., 
parks and recreation, public works, planning) works 
towards the shared vision of a healthy community. 
Creation of Healthy Public Policy: Decisions 
or actions intended to have a positive eff ect 
of the health of people, involving community 
participation in planning and implementation. 
Governments should consider the broad range of 
factors that aff ect health and quality of life, and 
allocate resources and funds accordingly.
2. Community Food Security Strategies 
Th ere are several important way to create positive 
change towards a more food-secure future for 
Ontario communities. Community food security 
strategies fi t into three broad categories: 1 
• short-term solutions to provide 
emergency relief 
• healthy public policy to create change 
at the system level 
• community actions to mobilize 
community members 
Short-term solutions are those that follow a 
charitable model, such as food banks and soup 
kitchens. Although these strategies provide 
important relief to the hunger crisis, they do not 
deal with the root causes of food insecurity and 
therefore do not bring about sustainable change 
for our communities. Our focus will be on the 
remaining two categories: capacity building 
and system change through healthy policy 
development. Th ese methods take a multi-sectoral 
approach and aim to create changes that are long 
term and population wide. 
Community Food Security programs address the social, economic and environmental 
determinants of health. 
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20 Healthy Food, Healthy Community A Community Action Guide
3. Healthy Public Policy 
Healthy public policy puts people fi rst in our 
communities. Although the concept of public 
policy may seem daunting, it doesn’t have to be. 
Growing our understanding of the basics of policy 
is important to grasping how it can be changed to 
benefi t community health. 
A Defi nition 
Th e word policy refers to a plan of action that 
guides the decision-making of individuals, 
organizations and governments. Policies refl ect 
our values and can take many forms, including 
guidelines, rules, regulations, laws or principles.2 
Specifi cally, healthy public policy targets the 
determinants of health to lay the groundwork 
for shrinking social inequalities and making 
healthier choices easier for everyone.3 It promotes 
community-wide health by improving widespread 
access to the resources required to live healthy and 
productive lives. 
Healthy Public Policy Is Important 
Th e development of supportive, healthy policy is 
perhaps the most eff ective way to build long-term 
food security and a more sustainable food system 
for our communities.4 It focuses on the underlying 
social causes of community food security and 
makes positive changes at the system level. Th e 
eff ects of these changes spread across all levels of 
the population and help to maintain community 
food security for the people of the present and the 
children of the future. However, the benefi ts of 
policy-making are not limited to the creation of a 
fi nal document. 
Th e importance of developing healthy policy is 
based on both the process and the fi nal product. 
Th e process of building policies that support food 
security engages community members to reach a 
shared understanding of food security issues, while 
inviting them to think about how these problems 
can be addressed through policy-focused action.5 
When it comes to the development of healthy 
public policy, both the journey and the destination 
are valuable to community growth. 
Making Healthy Public Policy Happen 
Generally, the need for new or updated public 
policy arises when a population’s needs are 
not being met or the present system favours 
unhealthy choices. Governments are accountable 
for the health consequences of their policies or 
lack of policies.6 Th e general public often feels 
like the development of policy is out of their 
hands; however, involving aff ected communities 
in the process is a vital part of healthy policy-making. 
In terms of building community food 
security, listening to the voice of food-insecure 
populations helps us understand what the issues 
are and provides direction for decision-makers. 
Collaboration between aff ected individuals, 
families, organizations, businesses and government 
is ideal for creating eff ective healthy policies that 
support the growth of food-secure communities. 
Turn Up the Volume! 
Th ere are several types of initiatives that are 
turning up the volume on the public’s voice 
during policy discussions, and bringing greater 
awareness to the importance of healthy policy that 
supports food-secure communities. Here are some 
highlights: 
Food policy councils are “think tanks” for the 
development of programs and policies that aim 
to build community food security. Food policy 
councils are created through a diverse partnership 
of concerned citizens, businesses and organizations 
that collectively represent a community, region 
or province.7 Council members join forces to 
discuss strategies for infl uencing policy, growing 
community awareness and promoting community 
action. Armed with the power of knowledge, 
Part IV Recipe for Success: Strategies for Building Food Security 21
passion and ideas, food policy councils advocate 
for long-term solutions by striving to put food 
insecurity on the public policy agenda. 
Taking Action 
Since 1991, the Toronto Food Policy 
Council has partnered with business and 
community groups to develop policies and 
programs promoting food security. For more 
information, visit www.toronto.ca/health/ 
tfpc_index.htm. 
Just Food, formerly the Ottawa Food Security 
Council, is aimed at creating a just and 
sustainable food system in Ottawa. Th ey work 
with people in all parts of the food system 
and serve the interests of rural and urban 
food producers and low-income community 
members, and community organizations and 
partners. For more information, visit www. 
spcottawa.on.ca/ofsc. 
School food policies are documents or plans of 
action that outline a school’s approach to all food 
issues, including buying, selling and consuming 
food in a manner that supports healthier 
communities. Th ese policies are used to guide 
and support the choices of educators, parents and 
students, and symbolize a shared goal of building 
healthier and happier spaces 
where students can thrive. 
School food policies may be 
adopted and implemented by 
the schools themselves, and 
by school boards, education 
ministries, public health units 
and other related sectors.8 Th ere 
are many goals that school food 
policies can set out to achieve 
within the school, including:9 
• improving the nutrition, freshness, 
quality and appeal of food served and 
sold 
• improving the food preparation, service 
and eating environments 
• increase participation in school 
nutrition programs to ensure that no 
student goes hungry 
• integrate food service with school 
educational, health and environmental 
missions 
• purchase food in a manner that 
supports local farmers and the local 
economy 
• provide opportunities for student, 
teacher and public input 
Taking Action 
Does your or your children’s school have a food 
policy? If it doesn’t, perhaps you can join forces 
with others who are advocating for one to be 
implemented. Our “Th rough the Grapevine” 
section off ers several useful resources for learning 
more about food policies and other healthy school 
programs. 
Food charters are statements of values, principles 
and priorities used to point community food policy 
in a positive direction. Food charters are developed 
by bringing a diverse group of citizens together 
and enabling them to share their concerns and 
desires around food and agricultural issues in order 
to reach a shared vision of food security.10 Food 
charters take the voices and visions of community 
members and put them to paper. Th e end result 
is a community-owned and locally focused action 
plan to build greater food security. Both the 
document itself and the process used to create it 
are important to opening the discussion on food 
security issues, and mobilizing our political will to 
advocate for change.11 
22 Healthy Food, Healthy Community A Community Action Guide
Putting Public Policy on the Right 
Path 
Although the policy initiatives currently taking 
place to build food security for Canadians are 
promising, further policy changes need to be 
made by all levels of government in order to build 
community-wide food security for the long term. 
As part of their “Food 2002” project, FoodShare 
has developed a comprehensive list of 28 policy 
recommendations for building community food 
security that address the link between food and 
other social and economic issues. To read about 
these recommendations and other valuable 
information on food security, visit the FoodShare 
website at www.foodshare.net. 
Taking Action 
Th e Sudbury-Manitoulin Food Charter was 
developed by the Food Security Network 
of the Sudbury and Manitoulin Districts in 
June 2004, and was passed by the Sudbury  
District Board of Health, the City of Greater 
Sudbury, the municipalities of Killarney 
and of St. Charles and also by the Township 
of Tehkummah on Manitoulin Island as of 
September 15, 2004. For more information, 
contact Th e Foodshed Project at www. 
foodshedproject.ca or the Sudbury  District 
Health Unit at www.sdhu.com. 
Toronto City Council asked their Food and 
Hunger Action Committee to develop a Food 
Charter. Th e Committee brought together 
city councillors, city staff , non-profi t agency 
staff , food program participants, volunteers, 
clergy and interested members of the public 
to work on the Charter, which was adopted 
by Council in 2001. View the Toronto Food 
Charter at www.toronto.ca/food_hunger/pdf/ 
food_charter.pdf. 
Part IV Recipe for Success: Strategies for Building Food Security 23
The City of Greater Sudbury Food Charter 
...promoting community food security in the Districts of Sudbury and Manitoulin 
Given that access to safe, aff ordable, nutritious food is a basic human right of individuals and communities, and connects us 
to our families, our cultures, and our traditions; And that community food security is a comprehensive approach that includes 
all components of the food system, from producers to consumers, and promotes regional food self-reliance; And that having a 
food-secure community is the foundation of population health, social justice, community-based economic development, and 
a sustainable environment; Th erefore, the Food Security Network of the Sudbury and Manitoulin Districts, including Th e City 
of Greater Sudbury, the Social Planning Council of Sudbury, and the Sudbury  District Health Unit, will work towards the 
development and implementation of a community food security mandate that supports research, policies, and programs that will 
endorse: 
1) Population Health and Wellness: 
• Individual and household food security as a determinant of health; 
• Adequate income, employment, housing, and transportation policies that ensure food accessibility and 
availability to all citizens; and 
• Nutritional education and healthy food choices in schools, businesses and public places. 
2) Community Development: 
• An annual community food security report card; 
• Food self-reliance through community-based food programs, such as community gardens, fresh food box 
programs and collective kitchens; 
• Multi-cultural food festivals and cultural events; 
• An emergency food preparedness plan; and 
• Th e involvement of the community in developing food security solutions. 
3) Investment in the Regional Food System: 
• A regionally based and community-driven food system; 
• Th e viability of agricultural and rural communities; 
• Th e development of regional value-added agricultural production, food processing and distribution systems; 
and 
• Th e promotion of regional food products at farmers’ markets, farm-gate sales, and local food outlets. 
4) Th e Development of a Sustainable Food System: 
• Public and institutional education on the interdependence between the food system and a sustainable 
environment; 
• Scientifi cally proven best management agricultural practices and regional crop varieties; 
• Th e development and implementation of renewable technologies in the expansion of the regional food 
system; 
• Th e reduction of persistent toxic chemicals that can accumulate within the food chain; 
• Sustainable waste management practices; and 
• Support for initiatives that minimize the loss of bio-diversity, resource depletion, and climate change, and 
that raise the awareness of global environmental issues. 
24 Healthy Food, Healthy Community A Community Action Guide
4. Community Actions and Programs 
Community actions are important vehicles for 
building food security and building regional 
capacity. Community food security actions and 
programs aim to improve people’s access to 
nutritious food and promote sustainable and 
socially just food systems. Some programs also 
focus on bringing people together to produce 
and prepare their own food and work together 
for change.12 Community actions mobilize both 
individuals and groups to address the burden of 
food insecurity that may be facing them personally, 
or perhaps facing others in their community. 
Th ese programs build the capacity of individuals 
and populations by helping them acquire skills, 
strategies and resources to work through these 
challenges. Th is allows individuals to gain some 
control over very basic parts of their lives, such as 
feeding their families. 
Taste the Benefi ts! 
Although community action programs alone will 
not solve all food insecurity issues, they provide 
several powerful benefi ts: 13 
• preservation of individual dignity by 
requiring participation, time and often 
investment of fi nancial resources 
• off ering healthier, better-quality food 
to low-income consumers than what is 
off ered through a charitable model 
• promoting local control over the 
food system and environmental 
sustainability 
• fostering self-help, mutual support and 
community development 
• off ering nutrition education and 
opportunities to learn about new foods 
• providing more opportunities for 
social contact and a chance to practice 
English language skills 
A Journey of a Thousand Miles Begins 
with Just One Step 
Th e following section profi les ten types of 
initiatives that aim to build more food-secure 
communities, and also includes stories of 
projects that are happening right here, right now, 
throughout Ontario. Let the energy and actions of 
fellow Ontarians motivate and inspire you. Turn 
your knowledge into action, and take a fi rst step 
towards helping your community build a happy, 
healthy and food-secure future. Let the journey 
begin! 
Buy Local 
Buying from local food systems can include 
shopping at farmers’ markets or stands where 
you purchase directly 
from the grower, and 
eating at locally owned 
establishments rather 
than restaurant chains.14 
It is an important step 
in supporting local food 
systems that promote 
food security by being 
environmentally and 
economically sustainable. Fill your food basket with 
local products, and taste the benefi ts: 
• It helps the local economy. Buying 
local creates local job opportunities, 
pumps money back into the local 
economy and supports rural 
communities. 
• It is good for the environment. Local 
food systems reduce air pollution 
and the release of greenhouse gases 
by cutting down on transport. Food 
that is grown locally takes less energy, 
preservatives and packaging to get to 
your plate. 
Part IV Recipe for Success: Strategies for Building Food Security 25
• It connects growers and consumers. 
Consumers can build a greater 
understanding of how their food is 
grown and the people who are growing 
it, while farmers can learn about 
market trends and their customers’ 
needs and interests. 
• It creates a stronger sense of 
community. Communities come 
together to support locally produced 
food and build strong social networks. 
Sociologists have estimated that 
people have ten times as many 
conversations at farmers’ markets than 
at supermarkets.15 
• It increases community access to 
safer, more nutritious food that 
tastes better. Consumers have access 
to a diverse selection of fresh food 
that often contains less chemicals 
and preservatives. Food grown locally 
generally contains more vitamins and 
other nutrients than foods which have 
been imported. 
First Steps: 
Find a local market in your area by visiting www. 
farmersmarketsontario.com. Some communities 
make available local food maps or guides that 
show the public how and where to buy fresh local 
produce. For example, FoodLink Waterloo Region 
produces a guide to local food called “Buy Local! 
Buy Fresh!” for each season, available at www. 
foodlink-waterlooregion.ca. 
Start your own “buy local” campaign. Check 
ecoPerth’s Local Flavour campaign at www. 
ecoperth.on.ca to get some ideas. 
Th e Local Flavour campaign recognizes the 
importance of our local economy and the people 
that rely on it for their livelihoods and is targeted to 
local businesses, farms, and individuals. 
ecoPerth suggests many ways that you can keep 
your food dollar as close to home as possible: 
• Read labels to fi gure out just how far 
the food you’re thinking about buying 
has traveled, and buy as close to home 
as possible. 
• Let food retailers and restaurants know 
you’d rather eat locally produced foods, 
and patronize those that do. 
• Buy foods that are “in season” rather 
than “imported” because they are 
fresher and they have more nutrients 
than those coming from great 
distances. 
• Purchase food from farm gate sales; i.e. 
products that can be purchased directly 
from the growers in your area. 
• Shop for fresh goods at local markets. 
Every $1 spent on local food generates 
more than $2 in other local business. 
• Join a food box program; i.e. a box of 
produce purchased from local growers 
and in some cases, delivered to your 
home. 
• Start your own vegetable garden 
• Buy Ontario wine – look for the VQA 
label. 
• Experiment with new seasonal recipes 
that encourage the use of fresh, local 
products. 
ecoPerth’s Local Flavour logo allows consumers to 
quickly recognize the use of local products 
26 Healthy Food, Healthy Community A Community Action Guide
Local Flavours Project 
Thousand Islands/Rideau Region 
Offi cially launched in July 2005 at the Brockville Farmers’ Market, Local Flavours is an initiative of the 
UNESCO Frontenac Arch Biosphere, which occupies a triangular area in the Th ousand Islands/Rideau 
region of Eastern Ontario. 
Th e project supports local producers and builds a stronger local economy and community. Community 
members are encouraged to forgo buying their produce at the large chain grocery stores, and instead buy 
them at the farm gate or at local markets. Th e primary task of Local Flavours is to bring together local 
producers and consumers, creating an economic and social partnership that benefi ts the entire community 
Local Flavours provides maps of producers and outlets on its website, and also produces an annual brochure 
listing its members. Th is brochure is available in many businesses, post offi ces, township offi ces, information 
booths and other spots throughout the Frontenac Arch Biosphere Reserve Region. 
Th ere are many benefi ts to buying directly from local producers. 
• Providing a reliable market for farmers increases their share of food dollars and helps them to 
survive in a challenging business, thus preserving agricultural land. 
• When food doesn’t have to travel far, it requires less packaging materials, preservatives and, 
often, fewer pesticides. Th us, it avoids processes that pose threats to the environment and human 
health and decrease the taste and quality of food. 
• Reducing the need for long-distance shipping reduces the production of damaging greenhouse 
gases, which cause global warming, acid rain, smog, and air pollution. 
• It helps to preserve rural agricultural landscape and uses local natural resources without 
destroying them, since local producers tend to have small, sustainable operations as opposed to 
large industrial farms. 
• Local, naturally raised and fed animal products retain a higher proportion of their nutritional 
value than imported foods. 
• Th e local economy benefi ts because money spent in the community stays in the community 
longer, benefi ting local retailers and residents. 
• It creates opportunities for local farmers to develop new markets, such as organic foods and foods 
targeted to particular health and ethnic markets. Local consumers could include purchasers who 
buy for hospitals or school cafeterias. 
• Local food buying supports family farmers and helps to support rural communities. It also 
increases the connection between consumers and the production of their food and has signifi cant 
social benefi ts. Communities come together to support locally produced food and the people who 
produce it. 
For more information about Local Flavours, visit www.localfl avours.org 
or contact info@localfl avours.org – (613) 659-4824. 
Part IV Recipe for Success: Strategies for Building Food Security 27
Fair Trade 
Buying local food is not always possible, as a large 
portion of the food available in Canada is imported 
from abroad. However, whether your food came 
from local soil or was harvested in a faraway land, 
it is still important to understand the system that 
brought the food to your plate. 
When buying imported foods, it is diffi cult 
to see how our choices impact the people and 
communities that have grown it. Fair Trade is an 
international movement concerned with producing 
and trading goods in a way that supports local 
economies and human rights in poor countries. 
Th is includes getting a fair price for their goods, 
being off ered secure jobs in environments that 
promote human rights and gaining the support 
to obtain the necessary knowledge and skills to 
grow their business.16 Th ese are important factors 
when ensuring that our food is being produced 
in a sustainable and socially just way. Purchasing 
fair trade foods and advocating for world trade 
policies that benefi t both small-scale producers and 
multinationals are important ways of exercising 
our power as consumers.17 
First Steps: 
Visit the website for Oxfam International’s global 
campaign at www.maketradefair.com to read up on 
the issues and see how you can support fair trade. 
Support businesses that are fair trade certifi ed. 
Twenty countries, including Canada, have national 
initiatives to certify Fair Trade products. TransFair 
Canada, a not-for-profi t certifi cation and public 
education organization, provides a list of fair trade 
certifi ed businesses on their website at www. 
transfair.ca/en/licenseelist. 
Community Gardens 
A community garden is an inexpensive way 
for people to work together to grow their own 
food. Community gardens are usually found in 
a convenient part of a neighbourhood, where 
people can easily drop by and participate. Some 
community gardens have allotments where each 
family grows its own food. At other community 
gardens, food is grown collectively, with work 
shared by the participants. Th is allows people to 
exchange ideas, share gardening tips and provide 
varying levels of expertise. Growing our own food 
is also a great way to help build food security in our 
communities, promote active living and encourage 
people to work outdoors. If joining or initiating a 
community garden project is not an option for you, 
consider starting a small garden in your own home. 
Gardens can be grown in backyards, windows, on 
balconies or on rooftops. You don’t need to grow all 
your food at home, but giving it a try can be both 
fun and rewarding. 
First Steps: 
Find out if a community garden already exists in 
your community by contacting your local health 
unit, rotary and horticultural clubs, city parks and 
other community planning organizations. Getting 
involved in existing gardens will save you much 
time and energy and reduce duplication of eff orts. 
For gardening tips, Master Gardeners of Ontario 
Inc. is made up of local volunteers who give 
guidance to home gardeners. To fi nd a Master 
Gardener near you, visit the Ontario Horticultural 
Association at www.gardenontario.org/mas. 
Community Shared Agriculture 
Community Shared Agriculture (CSA) is a co-operative 
method of direct marketing from farm 
to table. Th e primary thrust behind CSA is that 
consumers, usually urban, agree to buy a share of 
local farmers’ produce at a pre-established price. 
Consumers are provided with a box full of fresh, 
quality, seasonal produce direct from a local farm 
every week during the growing season.18 Th e 
prepaid share provides a guaranteed return for 
the CSA growers’ labour and resources, regardless 
of drought, fl oods or other hazardous conditions. 
Many CSAs off er “work shares” where consumers 
can work off some or all of the share purchase 
price. It is also common for CSAs to involve their 
28 Healthy Food, Healthy Community A Community Action Guide
Comments from Community Gardeners in London: 
“Th e garden was particularly helpful because we were able to supplement our tiny food budget. If it hadn’t 
been for the garden I shudder to think what our meals would have been like.” 
“What probably surprised me the most was how quickly any daily stress could be melted away just by watering 
the garden, weeding or picking the fresh produce.” 
“Everywhere I turned help was at hand. With seasoned gardeners on every side, advice was plentiful, and 
sooner than I could imagine I had a plot full of a wonderful array of produce.” 
“Last year my tomato crop was so bountiful that I delivered baskets each weekend to the senior shut-ins in the 
apartment building next to ours.” 
“What an enjoyable and fulfi lling experience!” 
Part IV Recipe for Success: Strategies for Building Food Security 29
London’s Community Gardens 
Operated by the London Community Resource Centre, the London Community Gardens Project is 
funded by the City of London and receives many donations and in-kind contributions from organizations, 
individuals, and other levels of government. 
In the summer of 2005, 17 gardens were in operation. Community gardens have proven to be very popular in 
London for a variety of reasons. Not only do they provide increased access to fresh, nutritious, low-cost food, 
but they also provide opportunities for increased skill development, community building, recreation, physical 
activity, fresh air, social interaction and cross-cultural participation. 
Participating gardeners come from diverse backgrounds and range in age from 21 to 92. Sixty-seven percent 
of the gardeners have household incomes of less than $24,000. Forty percent have languages other than 
English as their fi rst language. Many live in apartments without access to a garden, and participate to better 
their health through both nutrition and exercise, and other simply enjoy gardening. Some gardeners are 
new Canadians who want to grow food that they are accustomed to from their countries of origin. Several 
agencies participate in the Community Gardens Project by organizing plots for their clients, members or 
constituents to use, in some cases as a form of therapy in addition to the other benefi ts of gardening. 
Th e land for the gardens is provided by the City of London, churches and local businesses. In 2005 there were 
432 plots and 230 registered gardeners. It was calculated that approximately 1,800 people benefi ted from 
food produced in the gardens. Th is number does not include those who benefi ted through produce donated 
to the London and Area Food Bank and other service agencies. Th e plot rental fee is based on a sliding scale 
from $15 to $40 per year, geared to income. Fifty-one percent of gardeners pay the lowest rate. Th ese fees 
cover only the supplies required by the gardens, e.g., water, hoses, soil tests, tools, etc. Th e gardeners also 
contribute many hours of volunteer labour to assist with preparation and maintenance of the garden sites. 
All the gardens are grown organically, i.e, no chemical pesticides or herbicides are used. Compost, mulching, 
crop rotation and companion planting are employed to obtain maximum yield. 
One of the newer initiatives of the project has been to create raised garden beds at one of the garden sites to 
make them accessible to people with physical disabilities. Another initiative is the “Dig It” project, in which 
20 youth will be hired to learn about composting, build composters, teach the community gardeners about it 
and facilitate composting at each of the gardens. 
For more information about the London Community Gardens Project, contact: 
Mary Yanful, Community Gardens Coordinator 
London Community Resource Centre 
652 Elizabeth St., London, Ontario N5Y 6L3 
Tel: (519) 432-1801 
Email: mary@lcrc.on.ca 
Website: www.lcrc.on.ca 
30 Healthy Food, Healthy Community A Community Action Guide
consumers with on-farm activities and special 
events, or to help distribute food shares to fellow 
members at drop-off sites. 
CSA benefi ts consumers, farmers and the natural 
environment they both live in. By sharing in the 
success and failure of crops in any given year, the 
gap between consumers and growers is lessened, 
allowing for stronger relationships between rural 
and urban people. For the consumer, CSA off ers 
a greater diversity of fresh, high-quality produce. 
For growers, CSA allows them the satisfaction of 
serving their local community while maintaining 
smaller eco-friendly farms, which are still 
profi table.19 CSA also benefi ts the environment, as 
the majority of CSA growers practice ecologically 
friendly methods of food production with little or 
no use of chemicals. CSA consumers are tolerant 
of nutritious produce that may not be picture 
perfect, resulting in much less waste. Combining 
this reduction of waste produce with less packaging 
and less transportation costs creates a food system 
that is better for the environment, and also has a 
positive eff ect on the local economy. 
First Steps: 
Join a CSA and encourage your friends and family 
to follow! To fi nd out what CSA projects are 
operating in your region, try contacting your local 
community food security organization (check 
FoodNet at www.opha.on.ca/foodnet/initiatives. 
html for listings), your local Green Communities 
member (see http://www.gca.ca/indexcms/index. 
php?organizations#ON), or check out the various 
Ontario chapters of Canadian Organic Growers 
(see the national website at www.cog.ca). 
Community Kitchens 
“Eliminating hunger is really the 
cornerstone of a better world where 
we could live with each other in 
peace and harmony. Collective 
Kitchens contribute to that kind of 
world.” 
Diane Norman, Dietitian 
A community kitchen 
consists of a group of 
people who meet regularly 
to plan and cook nutritious 
meals together, exchange 
recipes and develop new 
food preparation skills. 
By sharing a collective 
kitchen space, participants 
can expand their skills 
while socializing, building 
friendships and off ering 
mutual support to other 
people who face the 
challenges of food insecurity. 
Community kitchens often involve buying foods 
collectively and in large quantities or bulk, 
therefore lowering food costs for members. In 
addition, community kitchens are often very 
convenient for participants. Cooking in larger 
quantities takes less time, and the food can be 
easily portioned and frozen for later use. 
It is up to the group to decide how they want the 
kitchen to function, therefore providing a level 
of fl exibility that helps to ensure that the diverse 
needs of the group are met. Some groups meet once 
a week, while others meet once a month. Some 
kitchens may sit down together and share their 
meals after each meeting, while others may cook 
a number of diff erent meals to last until the next 
meeting. 
When individuals of similar circumstance meet, 
community kitchens may take a particular focus. 
For example, they can be geared towards seniors, 
diff erent minority groups, single mothers and 
fathers, vegetarians, students and other specifi c 
groups. 
First Step: 
Community kitchen programs are operating in 
many parts of the province. To learn more, contact 
the food security work groups and councils listed in 
our “Th rough the Grapevine” section. To fi nd out if 
there is a community kitchen program in your area, 
Part IV Recipe for Success: Strategies for Building Food Security 31
contact your local health unit or check the FoodNet 
website at www.opha.on.ca/foodnet/initiatives/ 
program.html. 
London’s Collective Kitchen Network 
In response to the growing demand on food 
programs in London, in 1991 the London 
Community Resource Centre invited Dianne 
Norman, a public health dietitian in Montreal, to 
provide training on the development of a Collective 
Kitchen program in London. Four kitchens 
were opened initially, one with recent Spanish 
immigrants, two in therapeutic environments 
for ex-psychiatric patients and a fourth for 
anyone from the community. Th ere are now 37 
kitchens operating in London and surrounding 
townships, sponsored by various organizations and 
institutions. Th e London Community Resource 
supports the London Collective Kitchen network by 
providing short term subsidies, training, nutritional 
information and referrals. 
Service providers will be engaged as supporters for 
these high needs groups. Th e success of this project 
is due to the contributions of many volunteers, 
partners and funders. 
Gleaning Projects 
Gleaning refers to the collection of crops from 
farmers’ fi elds that remain after harvesting is 
complete. Th ese are crops that would otherwise be 
left to rot or be ploughed under, as harvesting them 
is not economically profi table for the grower or 
they are not suitable to sell on the retail market. 
Gleaning is practiced as a means for low-income 
and hungry families to access fresh food at no 
cost. Projects also aim to bridge the gap between 
growers and consumers and encourage strong 
partnerships between participants and the 
local farming community. Gleaning provides 
participating families with an opportunity to 
promote locally grown produce, be socially and 
physically active and to learn more about nutrition, 
food preparation and food safety.20 
First Steps: 
Read about gleaning projects that are already 
happening around the province, share your 
knowledge with others and see how you can get 
involved. Some gleaning programs you may want to 
consult include: 
• Fresh Food Partners by York Region 
Food Network: http://www.yrfn. 
ca/gleaning.htm 
• Food Action Network gleaning 
program by Th under Bay District 
Health unit: http://www.tbdhu.com/ 
food/security/Gardening.htm 
North Lanark Responds to Community 
Needs 
Th e North Lanark County Community 
Health Centre conducted a broad-based 
community health needs assessment which 
identifi ed diffi culties for many individuals 
and their families in accessing aff ordable, 
fresh fruits and vegetables. Because Lanark 
County also has a rich agricultural heritage, 
local individuals and organizations started 
working together to identify ways in which 
the provision of locally grown produce can be 
made more accessible to low income families 
in north Lanark. An anonymous donation 
from an individual with matching top-up 
funds from the Lawson Foundation, combined 
with special project funding from the United 
Way of Lanark County, have provided 
seed money for this initiative to take root. 
Projects being developed or explored include: 
supporting a community kitchen using local 
grown produce, creating a kitchen garden at a 
local youth centre and providing locally grown 
produce for hot lunch programs at the local 
primary school. Th e partners in this initiative 
include the North Lanark County Community 
Health Centre; ecoPerth and the Ontario 
Healthy Communities Coalition. 
32 Healthy Food, Healthy Community A Community Action Guide
School-Based Nutrition Projects 
Recently, there have been many discussions 
on the role of Ontario schools in ensuring that 
students obtain proper nutrition to succeed in their 
learning environment. Many children are arriving 
at school hungry, possibly due to long bus rides 
or a hectic family schedule that leaves little time 
to eat breakfast in the morning. Recognizing the 
importance of proper nourishment to a student’s 
learning and behaviour, many schools are adopting 
nutrition programs in response to this issue. Th ese 
programs often work hand in hand with school 
food policies that help to guide healthy choices by 
students and staff . 
School-based nutrition projects are not designed 
to remove or replace the parental responsibility of 
nourishing children, but rather enhance student 
access to nutritious meals and snacks throughout 
the day. Some programs may also provide students 
with opportunities to grow and cook their own 
food on site. 
Th ese programs address the health and diet 
needs of all children, not only those considered 
to be poor or in need. School-based nutrition 
programs tend to move away from a charitable 
model. Although they often involve some level 
of payment or donation from participants, they 
may also involve funding to ensure that all kids 
can participate, regardless of their ability to pay. 
Other characteristics of successful programs 
include being off ered regularly, involving parents, 
encouraging sharing, involving nutrition education 
and giving children healthy and safe food for 
energy to play, learn and grow.21 
First Steps: 
If there is not already a school-based nutrition 
program happening at your child’s school, perhaps 
it is time to initiate one. See our “Th rough the 
Grapevine” section for a listing of several healthy 
schools resources. For general information, visit 
www.safehealthyschools.org. To read about healthy 
school success stories, including initiatives to 
enhance student nutrition, visit the website of the 
Ontario Healthy Schools Coalition at www.opha. 
on.ca/resources/csh-success.pdf. 
Food-Buying Clubs 
A food-buying club is one where a group of people 
get together to provide food for themselves and 
their families. Th ey range in size from fi ve to 50 
families or individuals, and usually order every 
month or every second month from a wholesaler 
or retail distributor. A food-buying club collects 
orders from individual families, combines them 
and purchases the total quantity at wholesale 
prices. Th e distributor delivers the order to a house 
or drop-off point in the community where the 
order is then divided and distributed to members. 
Another type of buying club is the “good food 
box” concept. A “good food box” is a food delivery 
system in which fresh produce or non-perishable 
food is purchased in bulk, and the food is then 
delivered to neighbourhoods by volunteers or 
consumers. 
Th e concept of food-buying clubs is spreading and 
can be easily adopted by many communities, as 
they are fairly simple to organize and establish 
when kept at a small scale. Since there is little 
overhead in running a food-buying club, there is no 
need to mark up prices or pay membership dues, 
which keeps prices low. 
First Steps: 
Th e Ontario Natural Food Co-op is very supportive 
of food-buying clubs. Th e Co-op can provide all 
the necessary information on joining or starting a 
Part IV Recipe for Success: Strategies for Building Food Security 33
Durham’s Child Nutrition Project 
Sponsored by the Community Development Council Durham (CDCD), the Durham Child Nutrition 
Project (DCNP) utilizes an inclusive approach to ensure that every child in Durham Region attends school 
well nourished and ready to learn. As of December 31, 2005, the DCNP provided over one million healthy 
breakfasts to 10,932 children in 77 nutrition programs in the Region of Durham. Th is nutrition program 
recognizes the fact that there is a strong link between nutrition and the ability to learn. 
Th is nutrition program has increased the volunteer base immensely. Th e increased focus on nutritional 
awareness, combined with the statistics on child poverty, have motivated family members to approach their 
neighbourhood schools to volunteer in this program. Th e school teachers and principals also benefi t from 
the dedicated volunteers in this program, as they now have a wealth of diverse cultures in the volunteer pool 
and collaborative planning is now occurring in areas such as meal planning, cultural awareness, cultural 
food items and language use. Th e immigrant volunteers can communicate with other parents in the school 
nutrition program who may not use English as their fi rst language, and everyone benefi ts. 
Th e project has wide reaching benefi ts. Children are better prepared to learn once they are fed, they are 
exposed to healthy eating habits at an early age and they develop a sense of belonging. Th e program has the 
potential for capacity building within each community and children are provided an opportunity to try new 
cultural foods. Schools benefi t from an increase in student attendance and punctuality, the potential for 
higher concentration/better academic output when children are well nourished and a marked decrease in 
behavioural issues in the classroom. Parents are aware that children receive a nourishing breakfast/snack 
daily, which means their children are better prepared to learn and excel. Families on a fi xed or limited budget 
express gratitude that their children receive a nourishing meal prior to commencing their school day. Parents 
who must leave the home to commute to their place of work before their children leave for school express 
satisfaction with a program that ensures that each child will commence their learning day well fed and eager 
to learn. 
Th e most signifi cant result of this program is that children have increased mathematics and reading ability, 
children display better behaviour in class, there is a reduction in absenteeism, and the children and their 
parents are developing healthy eating habits. 
Th is program will have a signifi cant long-term impact on the children’s future and the further development 
of Durham Region and the municipalities that comprise it. Th is program can be adapted to fi t in any city, 
town or community. 
For more information, contact: 
Aisha Malik 
DCNP Coordinator 
Community Development Council Durham 
Tel: (905) 686-2661 
34 Healthy Food, Healthy Community A Community Action Guide
FoodShare’s Field to Table Schools Program 
On May 5, 2005, more than 140 local parents, students, educators, farmers, Toronto Public Health staff 
members and “foodies” gathered for an exciting one-day participatory workshop at FoodShare’s Field to 
Table Centre on Eastern Avenue. Th e keynote speaker was Marion Kalb, Program Director, National Farm 
to School Program in the United States. Marion has helped to build the Farm to School movement so that it 
is now operational in 22 states. Workshop participants heard from local key stakeholders on the benefi ts of 
adopting a farm to school program, which would enhance children’s ability to eat local, healthy food during 
their school day. Th at workshop was the impetus for the establishment of both the Ontario Farm to School 
Network and FoodShare’s Field to Table Schools program. 
Th e goal of the Field to Table Schools initiative is to develop sustainable school programs that enhance 
children’s health while improving the environment through school gardens, composting, salad bar lunches 
and links to farmers. Schools will be environmentally friendly ecological centres that will foster an integrated 
and holistic approach to food. Students will learn about cooking and how food quality relates to soil fertility, 
pest management, seasonal changes, processing for market and transportation. 
Th e ideal Field to Table School will be one where the focus is on food literacy and agricultural awareness. For 
example, in the ideal Field to Table School: 
• all meals and snacks include fresh fruits and vegetables 
• pop machines feature water and milk 
• there is a vegetable garden tended by student/teacher/parent teams 
• students learn about, and participate in, simple food preparation 
• recycling organic waste, paper and plastic is convenient 
• composting is part of the curriculum 
• classrooms have grow lights and seedling trays for herbs and greens 
• resource books are up-to-date 
• farm trips and farmer visits are frequent 
• fund raising does not depend on chocolate bars 
• special events do not serve junk food. 
Th e Field to Table School seems to be an idea whose time has come, a practical way for parents, educators, 
kids and the school community to learn about healthy eating in a positive and exciting way. During the 
2005–2006 school year, FoodShare staff were supported by a donation from the Laidlaw Foundation, which 
was used to initiate activities in three Toronto pilot schools. Th e results have been positive and expansion 
plans are underway. 
For more information see www.foodshare.net/school02.htm or contact: 
fttschools@foodshare.net. 
Tel: (416) 393-6351 
Part IV Recipe for Success: Strategies for Building Food Security 35
buying club. To hear about these services and more, 
visit their website at www.onfc.ca or call (416) 503- 
1144. 
To fi nd a good food box program in your area, 
check the listing of members of the Ontario Good 
Food Box Network on Foodshare’s website at www. 
foodshare.ca/train08.htm. If you are thinking 
of starting a similar program, you should get in 
touch with one of these groups to learn from their 
experience. 
FoodShare has produced a Good Food Box Guide 
to help groups set up their own program. It also 
contains case studies of some good food box 
programs. You may view or download it from www. 
foodshare.net/publications_04.htm. 
Food Co-operatives 
A co-operative is a business and incorporated body 
that has a board of directors. It is a democratic 
entity that is bound by the Co-operative 
Corporations Act. A food co-operative is a group 
of people who come together to provide food for 
themselves and their families. Co-operatives off er 
greater control over food quality, price and source, 
and range in size from small groups (fi ve to 10 
members) operating 
much the same as a 
food-buying club to 
large groups (100 to 
500 members). Many 
have a retail outlet that 
serves members and 
non-members of the co-operative. 
To become a member of a co-operative, you may 
need to make a commitment to perform tasks 
to help the co-op function. As well, many co-operatives 
require a fi nancial commitment in the 
form of a refundable membership loan. 
Th ere are many exciting ways to grow and diversify 
food co-operatives. Some have become very 
successful and branched into owning restaurants, 
coff ee shops and meeting places, while others have 
expanded into areas such as community gardening 
to supply fresh produce. 
First Steps: 
For all there is to know about co-op development 
and governance, contact: 
Th e Ontario Co-operative Association 
www.ontario.coop 
(519) 763-8271 
Th e Canadian Co-operative Association 
www.coopscanada.coop 
(613) 238-6711 
Good Food Box Regional Network 
A Good Food Box Regional Network has been 
formed in eastern Ontario to help support the work 
of community-based Good Food Box programs. This 
network meets quarterly to: share information, tools 
and resources; identify cost-sharing opportunities; 
support new or struggling good food box programs; 
and provide ideas and innovation for existing and 
established programs. The network currently consists 
of representatives from the Community Health Centres 
in Portland, Kingston, Merrickville, North Lanark, the 
LLG District Health Unit and a member of the John 
Howard Society. 
For more information contact Kara Symbolic at: 
karas@healthycommunities.on.ca 
Tel: (613) 267-8426 
Peer Education Programs 
Many Ontarians have a wide range of food-related 
skills and knowledge that they have gained through 
cultural, religious, occupational, educational and 
family experiences.22 Peer education programs tap 
into this valuable community resource to build 
capacity of other people throughout the province. 
Th e programs establish a network of trained 
individuals, often referred to as “advisors” or 
“animators,” who engage their local communities in 
an eff ort to build food security and adopt safe and 
36 Healthy Food, Healthy Community A Community Action Guide
healthy food practices. Community representatives, 
who are often volunteers, provide guidance and 
support to their communities in diff erent ways. 
Some programs work alongside other community 
organizations to develop food projects in their 
local area, such as community gardens, kitchens 
or farmers’ markets. Other programs may focus 
more on education, by working with communities 
to improve and promote safe and healthy food 
selection, preparation and storage practices of 
consumers.23 
Th e local focus of peer education programs is an 
important contributor to their success. Since the 
community leaders are also community members, 
they have a better feel for local needs and greater 
potential for mobilizing fellow members in an 
eff ort to build community capacity. 
Why Wait? 
Peer education programs are active in many areas 
of the province. For example, the Community Food 
Advisor program operates in 18 areas of Ontario. 
Community Food Advisors are trained volunteers, 
certifi ed annually, who provide reliable information 
and education that promotes safe and nutritious 
food selection, preparation and storage practices 
to consumers in Ontario. For more information, 
contact the Nutrition Resource Centre at 1 (800) 
267-6817 or visit www.nutritionrc.ca/programs/cfa-program. 
html. 
FoodShare (www.foodshare.net) has a Community 
Food Animation program, in which has paid 
staff and volunteers work with local partners to 
animate communities to start food projects in their 
neighbourhoods, co-ordinate a network of farmers’ 
markets, develop food policy recommendations and 
assist with project design, evaluation and policy 
development. 
Th e Region of Waterloo also operates a large peer 
nutrition and health worker 
program, which as undergone 
rigorous evaluation. You can 
fi nd information about the 
impacts of such programs 
at: www.region.waterloo. 
on.ca/ph - follow the links for 
resources/health status and research studies/peer 
programs. 
Part IV Recipe for Success: Strategies for Building Food Security 37
38 Healthy Food, Healthy Community A Community Action Guide
39 
THROUGH THE GRAPEVINE: 
Learn More About Community Food 
Security 
Publications 
Food Security: More Th an a Determinant of Health. 
(2003). McIntyre, L. 
Available on-line at: www.irpp.org/po/archive/ 
mar03/mcintyre.pdf 
For Hunger-Proof Cities: Sustainable Urban Food 
Systems. (1999). 
Koc M, MacRae R, Mougeot L, Welsh J (Editors). 
Ottawa: International Development Research 
Centre 
Check your local library or bookstore 
A Systemic Approach to Community Food Security: 
A Role for Public Health. (2002). Food Security 
Work Group, Ontario Public Health Association 
(OPHA). 
Available online at: http://www.opha.on.ca/ 
ppres/2002-01_pp.pdf 
Discussion Paper on Household and Individual 
Food Insecurity. (2001). Tarasuk, V. Available online 
at: 
http://www.hc-sc.gc.ca/fn-an/nutrition/pol/food_ 
sec_entire-sec_aliments_entier_e.html 
Towards A Healthy Community Food System for 
Waterloo Region (2005). Xuereb, M and Desjardins 
E. Available on line at: http://chd.region.waterloo. 
on.ca – follow the links for resources/health status 
and research studies/food issues. 
Websites 
Ryerson University Centre for Studies in Food 
Security 
www.ryerson.ca/~foodsec/ 
Food for the Cities: Food and Agriculture 
Organization, United Nations 
www.fao.org/fcit/insec.asp 
V 
The Fundamentals: Understanding, Defi ning and Approaching CFS
Food Security Bureau, Agriculture and Agri-Food 
Canada 
www.agr.gc.ca/misb/fsb/fsb-bsa_e.php 
Community Food Security Coalition 
www.foodsecurity.org 
CFS and the Social Determinants of Health 
Publications 
Th e Social Determinants of Health: An Overview 
of the Implications for Policy and the Role of the 
Health Sector. (2002). Edwards, P. 
Available online at: 
http://www.phac-aspc.gc.ca/ph-sp/phdd/overview_ 
implications/01_overview.html 
Social Determinants of Health – Th e Solid Facts, 
2nd edition. (2003). 
Wilkinson, R and Marmot, M. (Editors). World 
Health Organization. 
Available online at: http://www.euro.who.int/ 
document/e81384.pdf 
Strengthening the Social Determinants of Health: 
Th e Toronto Charter for a Healthy Canada. (2002). 
Available online at: www.socialjustice.org 
Chronic Disease, Obesity and Health Promotion 
Publications 
Th e Case for Prevention: Moving upstream to 
Improve Health for all Ontarians. (2006). Ontario 
Prevention Clearinghouse. Available online at: 
http://www.opc.on.ca/english/about_us/pdfs/ 
caseforprevention.pdf 
Report on the Health Status of the Residents of 
Ontario. (2000). 
Public Health Research, Education and 
Development Program 
Available online at: 
http://www.opha.on.ca/resources/healthstatus/ 
english/healthstatus2000.pdf 
Oxfam Canada 
www.oxfam.ca 
Additional Websites 
Th e Ram’s Horn 
http://www.ramshorn.ca 
Registered Nurses Association of Ontario (RNAO) 
Knowledge Depot 
http://www.rnaoknowledgedepot.ca/promoting_ 
health/index.asp 
Centre for Social Justice 
http://www.socialjustice.org/csjabout.php 
Chronic Disease in Ontario and Canada: 
Determinants, Risk Factors and Prevention 
Priorities. (2006). E. Haydon et. al. Ontario Chronic 
Disease Prevention Alliance  the Ontario Public 
Health Association. 
Available online at: http://www.cdpac.ca/content/ 
pdf/CDPsummary%20report.pdf 
Preventing Chronic Diseases: A Vital Investment. 
(2005). 
World Health Organization and Th e Public Health 
Agency of Canada 
Available online at: http://www.who.int/chp/ 
chronic_disease_report/en 
40 Healthy Food, Healthy Community A Community Action Guide
If the Health Care System Believed You Are What 
You Eat: Strategies to Integrate our Food and Health 
Systems. (1997). Toronto Food Policy Council 
Available online at: http://www.toronto.ca/health/ 
tfpc_discussion_paper.htm 
Healthy Weights, Healthy Lives: 2004 Chief 
Medical Offi cer of Health Report. Dr. Sheila 
Basrur. Available online at: http://www.health. 
gov.on.ca/english/public/pub/ministry_reports/ 
cmoh04_report/cmoh_04.html 
Additional Websites 
World Health Organization: Department of 
Chronic Diseases and Health Promotion 
http://www.who.int/chp/about/integrated_cd/en/ 
World Health Organization: Global Strategy on 
Diet, Physical Activity and Health 
http://www.who.int/dietphysicalactivity/ 
publications/facts/riskfactors/en/index.html 
Centre for Chronic Disease Prevention and 
Control: Public Health Agency of Canada 
http://www.phac-aspc.gc.ca/ccdpc-cpcmc/topics/ 
chronic-disease_e.html 
Poverty, Inclusion and Social Development 
Publications 
Population Health: Social Inclusion as a 
Determinant of Health. (2002). 
Galabuzi, GE and Labonte, R. Public Health Agency 
of Canada 
Available online at: 
http://www.phac-aspc.gc.ca/ph-sp/phdd/overview_ 
implications/03_inclusion.html 
Reducing Urban Hunger in Ontario: policy 
responses to support the transition from food 
charity to local food security. (1995). Toronto Food 
Policy Council. 
Available online at: http://www.toronto.ca/health/ 
tfpc_discussion_paper.htm 
Urban Poverty in Canada: A Statistical Profi le. 
(2000). Lee, Kevin K. 
Canadian Council on Social Development 
Available online at: www.ccsd.ca/pubs/2000/up 
Report Card on Child Poverty in Ontario. (2003). 
Ontario Campaign 2000, Toronto 
Available online at: http://www.campaign2000. 
ca/rc/ONrc03/ONrcO3eng.pdf 
Poverty Fact Sheet. (2000). 
Peterborough Social Planning Council 
Available online at: http://www.pspc.on.ca/pdf/ 
Poverty%20Fact%20Sheet.PDF 
Additional Websites 
Th e Canadian Council on Social Development 
www.ccsd.ca 
Make Poverty History Campaign, Oxfam 
International 
www.makepovertyhistory.ca 
United Way Canada 
www.unitedway.ca 
Community Foundations of Canada 
http://www.cfc-fcc.ca/services/index.cfm 
Inclusive Cities Canada 
http://www.inclusivecities.ca/about/index.html 
Child and Youth Health Network for Eastern 
Ontario 
http://www.child-youth-health.net/home.htm 
Part V Through the Grapevine: Learn More About Community Food Security 41
(follow the “publications” tab to get to the fi ve 
Poverty Report Books for various parts of Eastern 
Ontario) 
School-based Nutrition Programs and Policies 
Publications 
Making Ontario Schools Healthier Places to Learn. 
(2004). 
Education Minister Gerard Kennedy. Ministry of 
Education, Government of Ontario. 
Available online at: 
http://www.edu.gov.on.ca/eng/document/reports/ 
healthyschools/report.pdf 
Eff ectiveness of School Programs in Preventing 
Childhood Obesity: A Multilevel Comparison. 
(2005). P..J. Veugelers, PhD and A..L. Fitzgerald, 
MSc. 
American Journal of Public Health: March 2005, 
Vol. 95, No.3 200595:432 435. 
Healthy School Food Policies: A Checklist. (2002). 
M. Vallianatos M. Center for Food and Justice, 
Urban and Environmental Policy Institute. 
Available online at: 
www.departments.oxy.edu/uepi/cfj /publications/ 
healthy_school_food_policies_05.pdf 
Achieving the Vision of Healthy Schools across 
Ontario: Priority Areas for Action. (2005). Ontario 
Health Schools Coalition. Available online at: 
http://www.opha.on.ca/resources/OHSC-Report- 
8Jun05.pdf 
Community Food Security and Urban Planning 
Publications 
Th e Way to a City’s Heart is through its Stomach: 
Putting Food Security on the Urban Planning Menu. 
(2001). Roberts, W. Toronto Food Policy Council. 
Available online at: http://www.toronto.ca/health/ 
tfpc_discussion_paper.htm 
BC Food Systems Network Society 
http://www.fooddemocracy.org 
Food for Th ought: Schools and Nutrition. (1997). 
Health Canada. Available online at: http://www. 
hc-sc.gc.ca/fn-an/alt_formats/hpfb-dgpsa/pdf/ 
nutrition/food_thought_schools-refl ection_ 
aliments_ecole_e.pdf 
Additional Websites 
Breakfast for Learning: Canadian Living 
Foundation 
www.breakfastforlearning.ca 
Communities and Schools Promoting Health 
www.safehealthyschools.org 
Ontario Healthy Schools Coalition, Ontario Public 
Health Association 
http://www.opha.on.ca/ohsc/ 
Living School: Building Healthier Communities 
Ontario Physical and Health Education Association 
(OPHEA) 
http://www.livingschool.ca/ 
Food in Schools Toolkit: British Nutrition 
Foundation. http://foodinschools.datacenta.uk.net/ 
Food Retail Structure and Food Security. (1996). 
Toronto Food Policy Council. Available online at: 
http://www.toronto.ca/health/tfpc_discussion_ 
paper.htm 
Additional Websites: 
Centre for Research on Inner City Health: St. 
Michael’s Hospital 
http://www.crich.ca/ 
42 Healthy Food, Healthy Community A Community Action Guide
Food Production and the Future of Farming 
Publications 
Farming and You: Re-examining the Relationship 
between Farmers and Consumers. (2001). Shamley, 
F. and Jacobs, A. Ontario Healthy Communities 
Coalition Update: Spring/Summer 2001. Available 
online at: www.healthycommunities.on.ca/ 
publications/newsletter/S_S01EN.PDF 
Policy on Sustainable Agriculture. National Farmers 
Union. 
www.nfu.ca/sustag.htm 
Setting a New Direction: Changing the Agricultural 
Policy Making Process. (1995). Toronto Food Policy 
Council. Available online at: http://www.toronto. 
ca/health/tfpc_discussion_paper.htm 
Additional Websites: 
Sustainable Agriculture Production and 
Consumption Forum. 
United Nations Environment Programme (UNEP) 
www.agrifood-forum.net 
Inter Pares 
http://www.interpares.ca/en/what/food.php 
Food Security Bureau, Agriculture and Agri-Food 
Canada 
http://www.agr.gc.ca/misb/fsb/fsb-bsa_ 
e.php?page=index 
Farming Solutions: Success Stories for the Future of 
Farming 
www.farmingsolutions.org 
International Institute for Sustainable Development 
(IISD) 
www.iisd.org/ 
Beyond Factory Farming Coalition 
www.beyondfactoryfarming.org 
World Health Organization 
Th e Department of Food Safety, Zoonoses and 
Foodborne Diseases 
www.who.int/foodsafety 
Food Safety Network: University of Guelph 
http://www.foodsafetynetwork.ca/en/index.php 
In Focus: Growing Better Cities – Urban 
Agriculture for Sustainable Development. 
International Development Research Centre 
www.idrc.ca/en/ev-92997-201-1-DO_TOPIC.html 
Canadian Organic Growers 
www.cog.ca 
Importing and Transporting Food 
Publications 
Fighting Global Warming at the Farmer’s Market: 
Th e Role of the Local Food Systems in Reducing 
Greenhouse Gas Emission, Second Edition. (2005). 
Bentley, S. and Barker, R. FoodShare Toronto. 
Available online at: http://www.foodshare.net/ 
resource/fi les/ACF230.pdf 
Food Miles: Environmental Implications of Food 
Imports to Waterloo Region. (2005) 
Xuereb M. Region of Waterloo Public Health. 
Available online at: www.chd.region.waterloo.on.ca 
Eating Oil: Food Supply in a Changing Climate. 
(2001). Jones, A. Elm Farm Research Centre, U.K. 
Available online at: www.sustainweb.org/chain_ 
fm_eat.asp 
Additional Websites 
Sierra Club of Canada 
www.sierraclub.ca 
Lifecycles Project Society: Food Miles Initiative 
www.lifecyclesproject.ca/initiatives/food_miles/ 
Part V Through the Grapevine: Learn More About Community Food Security 43
Green Ontario: Conserver Solutions for a Healthy 
Ontario. 
Th e Conservation Council of Ontario. 
www.greenontario.org 
International Institute for Sustainable Development 
(IISD) Linkages: A Multimedia Resource for 
Environment and Development Policy Makers 
www.iisd.ca 
Sustainable Table: Serving Up Healthy Food 
Choices 
www.sustainabletable.org 
Th e FoodShed Project – Th inking Ecologically! A 
Sustainable Eating Initiative 
www.foodshedproject.ca/food_security.htm 
Oxfam International: Make Trade Fair Campaign 
www.maketradefair.com 
International Federation for Alternative Trade 
www.ifat.org 
Healthy Policy: Development and Advocacy 
Publications 
Th ought About Food? A Workbook on Food Security 
and Infl uencing Policy. (2005). Food Security 
Projects of the Nova Scotia Nutrition Council and 
the Atlantic Health Promotion Research Centre, 
Dalhousie University 
Available online at: www.foodthoughtful.ca 
Developing Health Promotion Policies, Version 1.0 
(2004). Th e Health Communication Unit, Centre 
for Health Promotion, University of Toronto. 
Available online at www.thcu.ca/infoandresources. 
htm 
Community Advocacy Toolkit (2003). Breakfast for 
Learning, Canadian Living Foundation 
Available online at: www.breakfastforlearning.ca 
Taking Action through Public Policy: A Focus 
on Health and Environment Issues. (2002). 
Community Animation Program, Environment 
Canada  Health Canada. Available online at: 
www.atl.ec.gc.ca/community/cap_taking_action_ 
through_public_policy/index_e.html 
School Community Cooperation for Healthy 
Eating – School Food Policies. Community and 
Schools Promoting Health. Th is site provides links 
to several web-based documents that describe 
eff ective policies and policy-making for school 
food policies. Th e issue of fundraising is covered 
specifi cally because it is often cited as the key 
barrier. www.safehealthyschools.org/healthyeating/ 
school_food_policies.htm 
Additional Websites: 
VOICE in Health Policy 
www.projectvoice.ca 
Toronto Food Policy Council 
http://www.toronto.ca/health/tfpc_index.htm 
FoodShare 
http://www.foodshare.net/foodpolicy03.htm 
Health Canada: Offi ce of Nutrition Policy and 
Promotion 
www.hc-sc.gc.ca/ahc-asc/branch-dirgen/hpfb-dgpsa/ 
onpp-bppn/index_e.html 
Institute on Governance: Building Policy Capacity 
http://www.iog.ca/knowledge_areas. 
asp?pageID=4area=3 
Canadian Public Health Association: Policy and 
Advocacy 
http://www.cpha.ca/english/policy/policy.htm 
44 Healthy Food, Healthy Community A Community Action Guide
Taking Action: Food Security Workgroups and Councils 
FoodShare: Field to Table 
www.foodshare.net 
Toronto Food and Hunger Action Committee 
http://www.toronto.ca/food_hunger/ 
Food Security Workgroup 
Ontario Public Health Association 
www.opha.on.ca/foodnet/ 
Ottawa Food Security Council 
www.spcottawa.on.ca/ofsc/ 
Toronto Food Policy Council 
www.city.toronto.on.ca/health/tfpc_index.htm 
Food Link Waterloo Region 
www.foodlink-waterlooregion.ca/ 
Th under Bay Food Action Network and District 
Health Unit 
www.tbdhu.com/food/security/default.htm 
Sudbury-Manitoulin Food Security Network 
http://communities.mysudbury.ca/Sites/ 
foodsecurity/default.aspx 
Th e Foodshed Project 
http://www.foodshedproject.ca/ 
Food Security Resource Centres 
Ryerson University Centre for Studies in Food 
Security 
www.ryerson.ca/~foodsec/ 
Nutrition Resource Centre 
http://www.nutritionrc.ca 
Ontario Public Health Association 
http://www.opha.on.ca/resources/issues.html 
FoodShare Learning Centre 
http://www.foodshare.net/lrcMAIN.htm 
Food and Agricultural Association (FAO) of the 
United Nations: Publications and Documents 
http://www.fao.org/publishing/ 
Part V Through the Grapevine: Learn More About Community Food Security 45
46 Healthy Food, Healthy Community A Community Action Guide
GLOSSARY OF KEY TERMS VI 
47 
Access is defi ned as having the right, opportunity 
or ability to reach, enter or use a facility, program, 
service or materials; visit a person or people; 
and/or receive, understand and use information, 
knowledge or skills. (adapted from Th e City of 
Toronto Task Force on Community Access  Equity: 
Glossary of Access and Equity Terms 1998–1999) 
Advocacy is the act of supporting or arguing in 
favour of a cause, policy or idea. It is undertaken to 
infl uence public opinion and societal attitudes or 
to bring about changes in government, community 
or institutional policies. (adapted from the Kidney 
Foundation of Canada Advocacy Handbook) 
Biodiversity refers to the variability among living 
organisms, including diversity within species, 
between species and of ecosystems. (Environment 
Canada, International Relations Glossary) 
Biotechnology is any technique that uses 
biological systems, living organisms or parts of 
organisms to develop or modify products for 
specifi c uses. (adapted from the World Foundation 
for Environment and Development) 
Chronic diseases are typically characterized as 
prolonged conditions that have an uncertain cause 
or origin, multiple risk factors, a non-infectious 
origin and are often preventable. Examples include 
cardiovascular diseases (heart disease and stroke), 
cancer, diabetes, arthritis, asthma and mental 
illness. (adapted from the Centre for Chronic 
Disease Prevention and Control) 
Community usually refers a geographic location 
– a place where a group of individuals reside and 
are subject to the same laws. Community can 
also refer to a group of individuals with common 
characteristics, beliefs, values or interests (e.g., a 
faith-based community). As well, communities 
can be composed of individuals sharing a range of 
common needs or experiences (e.g., the need for 
physical accommodation, the experience of racism). 
What is crucial to any “community,” however, is the 
sense of belonging or attachment that individuals 
have with one another and/or their environment. 
(adapted from Th e City of Toronto Task Force on 
Community Access  Equity: Glossary of Access and 
Equity Terms 1998–1999)
Community development is a process designed 
to create conditions of economic and social 
progress for the whole community with its active 
participation and fullest possible reliance upon the 
community’s initiative. (United Nations: 1948) 
Community food security is a situation in 
which all community residents obtain a safe, 
culturally acceptable, nutritionally adequate diet 
through a sustainable food system that maximizes 
self-reliance and social justice. (Hamm and 
Bellows, 2003). Food security also includes being 
able to make a living by growing and producing 
food in ways that protect and support both the 
land, sea and the food producers, and that ensure 
that there will be healthy food for our children’s 
children. (Food Security Projects of the Nova 
Scotia Nutrition Council and the Atlantic Health 
Promotion Research Centre, Dalhousie University) 
Culture refers to the way groups of people 
have learned or have had to live together by 
sharing certain historical experiences, including 
ideas, beliefs, values, knowledge and historical, 
geographical, linguistic, racial, religious, ethnic or 
social traditions. Culture is a complex and dynamic 
organization of meaning, knowledge, artifacts and 
symbols that guide human behaviour, account 
for shared patterns of thought and action and 
contribute to human, social and physical survival. 
Culture is transmitted, reinforced and passed on 
from generation to generation and is constantly 
changing. (adapted from Th e City of Toronto Task 
Force on Community Access  Equity: Glossary of 
Access and Equity Terms 1998–1999) 
Determinants of health are the range of 
personal, social, economic and environmental 
factors that determine the health status of 
individuals or populations. (World Health 
Organization Health Promotion Glossary, 1999). 
Specifi cally, the social determinants of health arise 
from historical, social, cultural, economic and 
political circumstances that produce inequalities of 
health in populations. (Dietitians of Canada) 
Ecosystem is an integrated and stable association 
of living resources (plant, animals and micro-organisms) 
and non-living resources functioning 
within a defi ned physical location. (Environment 
Canada, International Relations Glossary) 
Fair trade is a trading partnership based on 
dialogue, transparency and respect that seeks 
greater equity in international trade. It contributes 
to sustainable development by off ering better 
trading conditions to, and securing the rights of, 
marginalized producers and workers – particularly 
in Th ird World countries. (International Federation 
for Alternative Trade) 
Food bank is a broad term for an organization 
or entity that acquires, stores and distributes food 
to the needy in their community. Food banks are 
typically supported by community food drives and 
umbrella organizations, as well as grocery stores, 
local agriculture, food manufacturers and other 
distributors. Th ere are approximately 200 food 
banks in Ontario today. Although a typical food 
bank is somewhat diff erent from an emergency 
food program, it may also off er those services, 
alongside others such as clothing and counselling. 
(Ontario Association of Food Banks) 
Food Security – see Community Food Security 
Food insecurity is the opposite of food security. 
Food insecurity refers to limited or uncertain 
access to nutritious, safe foods necessary to lead a 
healthy lifestyle; households that experience food 
insecurity have reduced quality or variety of meals 
and may have irregular food intake. (United States 
Department of Agriculture, Life Research Offi ce) 
Food safety refers to the concept of food being 
free from all hazards, whether chronic or acute, 
that make food injurious to the health of the 
consumer. (World Health Organization) 
Food-borne illnesses are defi ned as diseases, 
usually either infectious or toxic in nature, caused 
by agents that enter the body through the ingestion 
of food. (World Health Organization) 
48 Healthy Food, Healthy Community A Community Action Guide
Fossil fuels are fuels containing carbon – coal, 
oil and gas – that were formed over millions of 
years through the decay, burial and compaction of 
rotting vegetation on land and of marine organisms 
on the sea fl oor. Burning fossil fuels is the major 
way in which humans add to the greenhouse 
gases in the atmosphere, causing air pollution and 
contributing to climate change. (Climate Change 
North, Yukon Conservation Society) 
Genetic pollution refers to the uncontrolled 
spread of genetic information into the genomes of 
organisms in which such genes are not present in 
nature. (Food and Agriculture Association of the 
United Nations) 
Greenhouse gases are gases in the atmosphere 
that trap the sun’s energy and thereby contribute to 
rising surface temperatures. Th e main greenhouse 
gas that contributes to climate change is carbon 
dioxide (CO2), a by-product of burning fossil 
fuels. Other greenhouse gases include methane 
(from agricultural sources) and nitrous oxide 
(from industrial sources). (Environment Canada, 
International Relations Glossary) 
Health is a state of complete physical, social and 
mental well-being, and not merely the absence 
of disease or infi rmity. Health is a resource for 
everyday life, not the object of living. It is a positive 
concept emphasizing social and personal resources 
as well as physical capabilities. (World Health 
Organization) 
Health disparities/inequalities are 
population-specifi c diff erences in the presence of 
disease, health outcomes or access to healthcare. 
Health disparities that result from diff erences 
in socioeconomic status follow a gradient that 
is commonly known as the social gradient. 
(adapted from the Health Resources and Services 
Administration, United States Department of 
Health and Human Services) 
Health promotion is the process of enabling 
people to increase control over their health and 
to improve their health. Th is can be achieved 
through advocacy to create the essential conditions 
for health indicated above; enabling all people to 
achieve their full health potential; and mediating 
between the diff erent interests in society in the 
pursuit of health. (adapted from Ottawa Charter 
for Health Promotion. WHO Geneva, 1986) 
Healthy public policy is characterized by an 
explicit concern for health and equity in all areas 
of policy, and by an accountability for how policy 
impacts health. Th e main aim of healthy public 
policy is to create a supportive environment to 
enable people to lead healthy lives and make 
healthy choices easier for citizens. (adapted from 
World Health Organization Health Promotion 
Glossary, 1998) 
Job security refers to a worker’s sense of having 
continuity of employment resulting from the 
possession of special skills, seniority or protection 
provided in a collective agreement against 
unforeseen change. (Saskatoon and District Labour 
Council, glossary of terms www.sfn.saskatoon. 
sk.ca/business/sdlc) 
Malnutrition is a state of poor nutrition that can 
result from an insuffi cient, excessive or unbalanced 
diet. It can also refer to the diffi culty or inability to 
absorb foods. 
Population health is an approach that aims to 
improve the health of the entire population and to 
reduce health inequities among population groups. 
In order to reach these objectives, it looks at and 
acts upon the broad range of factors and conditions 
that have a strong infl uence on our health. (Public 
Health Agency of Canada, What is Population 
Health?) 
Poverty is the state of being without adequate 
food, shelter or other basic necessities of life. In 
economic terms, there are two kinds of poverty: 
absolute and relative. Absolute poverty is a defi ned 
standard that has been agreed upon by experts and 
many countries. For many, absolute poverty also 
has two major classifi cations. Th ere is extreme 
poverty, where an individual lives on less than one 
dollar a day, and there is moderate poverty, where 
an individual lives on between one and two dollars 
Part VI Glossary of Key Terms 49
a day. Relative poverty is dependent on the country 
or region, as well as the social context. (Ontario 
Association of Food Banks) 
Prevention is a proactive process that includes 
measures that not only prevent the occurrence 
of disease, such as risk factor reduction, but also 
arrest its progress and reduce its consequences 
once established. (adapted from the World Health 
Organization Health Promotion Glossary, 1998) 
Social exclusion describes the structures and 
processes of inequality among groups in society. 
In the Canadian context, social exclusion refers 
to the inability of certain groups or individuals to 
participate fully in Canadian life due to structural 
inequalities in access to social, economic, political 
and cultural resources. Th ese inequalities arise 
out of oppression related to race, class, gender, 
disability, sexual orientation, immigrant status and 
religion. (G.E. Galabuzi and R. Labonte in “Social 
Inclusion as a Determinant of Health”) 
Social inclusion is the capacity and willingness of 
our society to keep all groups within reach of what 
we expect as a society – the social commitment 
and investments necessary to ensure that socially 
and economically vulnerable people are within 
reach of our common aspirations, common life and 
its common wealth. (Laidlaw Foundation) 
Social justice is a concept based upon the 
belief that each individual and group within a 
given society has a right to civil liberties, equal 
opportunity, fairness, and participation in the 
educational, economic, institutional, social and 
moral freedoms and responsibilities valued by 
the community. (R. Degan and Dr. M. Disman in 
“Cultural Competency Handbook,” Department of 
Public Health Sciences, University of Toronto) 
Social support is defi ned as the assistance 
available to individuals and groups from within 
communities that can provide a buff er against 
adverse life events and living conditions, and can 
provide a positive resource for enhancing the 
quality of life. (World Health Organization Health 
Promotion Glossary, 1998) 
Sustainable agriculture is a method of farming 
that provides a secure living for farm families; 
maintains the natural environment and resources; 
supports the rural community; and off ers respect 
and fair treatment to all involved, from farm 
workers to consumers to the animals raised for 
food. Sustainable agriculture meets the needs of 
the current generation while conserving resources 
for the use of future generations. (Sustainable 
Table, www.bctheorganicway.com/glossary.htm) 
50 Healthy Food, Healthy Community A Community Action Guide
51 
1. Agriculture and Agri-Food Canada, Food Security 
Bureau. Canada’s Action Plan for Food Security – A 
response to the World Food Summit, www.agr.gc.ca/ 
misb/fsb/fsb-bsa_e.php?page=index; accessed 
April 2006 
2. Ibid; Facts About Food Security 
3. Ibid; The World Food Summit 
4. Dietitians of Canada (2005). Individual and 
Household Food Insecurity in Canada: Position of 
Dietitians of Canada. www.dietitians.ca/news/ 
downloads/Food_Insecurity_position.pdf; p 2. 
5. Koc M et al. (eds). (1999). For Hunger-Proof 
Cities: Sustainable Urban Food Systems, Ottawa: 
International Development Research Centre, p 1. 
REFERENCES 
1. Hamm, M.W. and Bellows, A.C. Community 
Food Security and Nutrition Educators. Journal of 
Nutrition, Education and Behavior. 2003; 35: pp. 
27-43 
2. Ontario Public Health Association (1995). Food for 
Now and the Future, Discussion Paper, www.opha. 
on.ca/foodnet/foodfornow.html 
3. Koc M et al. (eds). (1999). For Hunger-Proof 
Cities: Sustainable Urban Food Systems, Ottawa: 
International Development Research Centre, p 1. 
4. Middlesex-London Health Unit and London 
Community Resource Centre (2003). Get Cooking: 
Collective Kitchen Handbook 
5. Tarasuk, V. (2001). Discussion Paper on Household 
and Individual Food Insecurity. www.hc-sc.gc.ca/fn-an/ 
nutrition/pol/food_sec_entire-sec_aliments_ 
entier_e.html 
6. Hamelin A.M., Beaudry M. Habicht J.P. (2002) 
Characterization of household food insecurity in 
Quebec: food and feelings. Soc Sci Med 2002; 
54(1):119-32. 
7. Ibid; p 129. 
8. Ontario Public Health Association (2002). A 
Systemic Approach to Community Food Security: 
A Role for Public Health, www.opha.on.ca/ 
ppres/2002-01_pp.pdf 
Introduction 
Part One – From the Root Up: Community Food Security Defi ned 
VII
9. Ontario Prevention Clearinghouse in collaboration 
with the Ontario Healthy Communities Coalition 
(1994). Using Stories to Guide Action. www.opc. 
on.ca/english/our_programs/hlth_promo/ 
resources/stories/sec_1.pdf 
10. Dietitians of Canada (2005). Individual and 
Household Food Insecurity in Canada: Position of 
Dietitians of Canada. www.dietitians.ca/news/ 
downloads/Food_Insecurity_position.pdf; p 1 
11. Ibid; p 3. 
Part Two – You Are What You Eat: Food Security  Health 
1. Wilkinson R. and Marmot M. (eds) (2003). Social 
Determinants of Health – The Solid Facts, 2nd 
edition. Copenhagen: World Health Organization. 
www.euro.who.int/document/e81384.pdf; p 11. 
2. Ontario Prevention Clearinghouse (2006). The Case 
for Prevention: Moving upstream to Improve Health 
for all Ontarians; p 4. 
3. Edwards P. in collaboration with Health Canada. 
(2002). The Social Determinants of Health: An 
Overview of the Implications for Policy and the Role 
of the Health Sector. www.phac-aspc.gc.ca/ph-sp/ 
phdd/overview_implications/01_overview.html; p 
1. 
4. Strengthening the Social Determinants of Health: 
The Toronto Charter for A Healthy Canada (2002). 
www.socialjustice.org; p 1. 
5. Edwards P. in collaboration with Health Canada. 
(2002). The Social Determinants of Health: An 
Overview of the Implications for Policy and the Role 
of the Health Sector. http://www.phac-aspc.gc.ca/ 
ph-sp/phdd/overview_implications/01_overview. 
html; p 3. 
6. Shaw M., Darling D., Gordon D. and Davey Smith 
G. (1999). The Widening Gap: Health Inequalities and 
Policy in Britain. Bristol: The Policy Press. 
7. Wilkinson R. and Marmot M. (eds) (2003). Social 
Determinants of Health – The Solid Facts, 2nd 
edition. Copenhagen: World Health Organization. 
http://www.euro.who.int/document/e81384.pdf; p 
10. 
8. Ibid; p 26. 
9. Garriguet, Didier. Overview of Canadians’ Eating 
Habits 2004: Nutrition: Findings from the Canadian 
Community Health Survey. Statistics Canada 2006. 
pg. 14 
10. Strengthening the Social Determinants of Health: The 
Toronto Charter for A Healthy Canada (2002). www. 
socialjustice.org; p 2. 
11. Edwards P. in collaboration with Health Canada. 
(2002). The Social Determinants of Health: An 
Overview of the Implications for Policy and the Role 
of the Health Sector. www.phacaspc.gc.ca/phsp/ 
phdd/overview_implications/01_overview.html; p 
2 – Health Canada 
12. Strengthening the Social Determinants of Health: The 
Toronto Charter for A Healthy Canada (2002). www. 
socialjustice.org; p 1. 
13. Wilkinson R. and Marmot M. (eds) (2003). Social 
Determinants of Health – The Solid Facts, 2nd 
edition. Copenhagen: World Health Organization. 
www.euro.who.int/document/e81384.pdf; p 26. 
14. Ibid; p 26. 
15. Ibid; p 26. 
16. Statistics Canada. (1997). Selected Leading Causes 
of Death by Sex. www40.statcan.ca/l01/cst01/ 
health36.htm 
17. World Health Organization. Chronic Diseases 
and Health Promotion www.who.int/chp/about/ 
integrated_cd/en/; accessed April 2006 
18. Statistics Canada. (1997). Selected Leading Causes 
of Death by Sex. www40.statcan.ca/l01/cst01/ 
health36.htm 
19. Wilkinson R. and Marmot M. (eds) (2003). Social 
Determinants of Health – The Solid Facts, 2nd 
edition. Copenhagen: World Health Organization. 
www.euro.who.int/document/e81384.pdf; p 26. 
20. World Health Organization. Global Strategy on 
Diet, Physical Activity and Health: Chronic Disease 
Risk Factors. www.who.int/dietphysicalactivity/ 
publications/facts/riskfactors/en/index.html; 
accessed April 2006. 
21. Centre for Chronic Disease Prevention and Control, 
Public Health Agency of Canada. Health Topics: 
Chronic Disease. www.phac-aspc.gc.ca/ccdpc-cpcmc/ 
topics/chronic-disease_e.html; accessed 
April 2006. 
52 Healthy Food, Healthy Community A Community Action Guide
22. Sierra Club of Canada. Agriculture, Climate Change 
and Health. www.sierraclub.ca/national/programs/ 
health-environment/food-agriculture/campaign. 
shtml?x=840; accessed April 2006. 
23. Hood, E. (2005). Dwelling Disparities: How Poor 
Housing Leads to Poor Health. National Institute of 
Environmental Health Sciences, Environmental 
Health Perspectives May 2005; 113(5) www. 
ehponline.org/members/2005/113-5/focus.html 
24. Region of Waterloo Public Health. A Glance at 
Access to Food. September, 2004) 
25. Centre for Chronic Disease Prevention and Control, 
Public Health Agency of Canada. Health Topics: 
Immigrant Health. http://www.phac-aspc.gc.ca/ 
ccdpc-cpcmc/topics/immigrant_e.html; accessed 
April 2006. 
26. Ibid. 
27. Region of Waterloo Public Health. A Glance at Diet, 
Weight and Diabetes. October 2004. 
28. Haydon E et. al. (2006). Chronic Disease in Ontario 
and Canada: Determinants, Risk Factors and 
Prevention Priorities. Ontario Chronic Disease 
Prevention Alliance  the Ontario Public Health 
Association. www.cdpac.ca/content/pdf/ 
CDPsummary%20report.pdf 
29. World Health Organization and The Public Health 
Agency of Canada. (2005). Preventing Chronic 
Diseases: A Vital Investment. www.who.int/chp/ 
chronic_disease_report/en; p 15. 
Part Three – Digging Deeper: Community Food Security Issues 
1. Wilkinson R. and Marmot M. (eds) (2003). Social 
Determinants of Health – The Solid Facts, 2nd 
edition. Copenhagen: World Health Organization. 
www.euro.who.int/document/e81384.pdf; p 17. 
2. Dietitians of Canada (2005). Individual and 
Household Food Insecurity in Canada: Position of 
Dietitians of Canada. www.dietitians.ca/news/ 
downloads/Food_Insecurity_position.pdf; p 6. 
3. Toronto Charter for a Healthy Canada. (2002). 
Online at: www.socialjustice.org; p 2. 
4. Dietitians of Canada (2005). Individual and 
Household Food Insecurity in Canada: Position of 
Dietitians of Canada. www.dietitians.ca/news/ 
downloads/Food_Insecurity_position.pdf; p 7. 
5. Ibid. 
6. Ibid. 
7. Region of Waterloo Public Health. A Glance at 
Access to Food. Sept., 2004.new 
8. Region of Waterloo Public Health. The Cost of 
Healthy Eating in Waterloo Region. 2005 
9. Dieticians of Canada (2005). Individual and 
Household Food Insecurity in Canada: Position 
of Dieticians of Canada. http://www.dietitians. 
ca/news/downloads/Food Insecurity_position.pdf; 
p 7 
10. Canadian Council on Social Development. (2002). 
Child poverty rates by province, Canada, 1990 - 1996. 
www.ccsd.ca/factsheets/fscphis2.htm. 
11. Driscoll, A.K.  Moore, K.A. (1999). The relationship 
of welfare receipt to child outcomes. Journal of 
Family and Economic Issues, 20(1), 85–113. 
12. Ontario Campaign 2000, Toronto. (2003). 2003 
Report Card on Child Poverty in Ontario. www. 
campaign2000.ca/rc/ONrc03/ONrcO3eng.pdf; p 2. 
13. Wilkinson R. and Marmot M. (eds) (2003). Social 
Determinants of Health – The Solid Facts, 2nd 
edition. Copenhagen: World Health Organization. 
www.euro.who.int/document/e81384.pdf; p 17. 
14. Galabuzi G.E  Labonte R. Population Health: Social 
Inclusion as a Determinant of Health. Public Health 
Agency of Canada, www.phac-aspc.gc.ca/ph-sp/ 
phdd/overview_implications/03_inclusion.html. 
Accessed April 2006. 
15. Agriculture and Agri-Food Canada, Food Security 
Bureau. Canada’s Action Plan for Food Security – A 
response to the World Food Summit, www.agr.gc.ca/ 
misb/fsb/fsb-bsa_e.php?page=index; accessed 
April 2006 
16. Toronto Charter for a Healthy Canada. (2002). 
Online at: www.socialjustice.org; p 2. 
17. Ontario Prevention Clearinghouse ( 2006). The Case 
for Prevention: Moving upstream to Improve Health 
for all Ontarians; p 9. 
18. Ibid. 
19. Kennedy, Gerard. (2004). Making Ontario Schools 
Healthier Places to Learn. Ministry of Education, 
Government of Ontario. www.edu.gov.on.ca/eng/ 
document/reports/healthyschools/report.pdf; p 2. 
Part VII References 53
20. Canadian Nurses Association. (2001). Position 
Statement: Food Safety and Security are 
Determinants of Health. www.cna-nurses.ca/CNA/ 
issues/position/primary/default_e.aspx; p 1. 
21. Kennedy, Gerard. (2004). Making Ontario Schools 
Healthier Places to Learn. Ministry of Education, 
Government of Ontario. www.edu.gov.on.ca/eng/ 
document/reports/healthyschools/report.pdf; p 2. 
22. Canadian Nurses Association. (2001). Position 
Statement: Food Safety and Security are 
Determinants of Health; p 1. 
23. Wilkinson R. and Marmot M. (eds) (2003). Social 
Determinants of Health – The Solid Facts, 2nd 
edition. Copenhagen: World Health Organization. 
www.euro.who.int/document/e81384.pdf; p 26. 
24. Food Security Projects, Nova Scotia Nutrition 
Council  the Atlantic Health Promotion Research 
Centre, Dalhousie University. (2005). Thought 
About Food? A Workbook on Food Security  
Infl uencing Policy. www.foodthoughtful.ca; p 11. 
25. Ibid. 
26. Breakfast for Learning, Canadian Living 
Foundation. Resources: Childhood Obesity in 
Canada. www.breakfastforlearning.ca. Accessed 
April, 2006. 
27. Ibid. 
28. Media Awareness Network. Cereal and Junk Food 
Advertising Handout. www.mediaawarness.ca. 
Accessed April 2006. 
29. Tremblay MS, Willms JD. (2000). Secular trends in 
the body mass index of Canadian children. www. 
cma.ca/cmaj/vol-163/issue-11/1429.htm[Abstract/ 
Full Text] CMAJ 2000;163(11):1429-33. 
30. Kennedy, Gerard. (2004). Making Ontario Schools 
Healthier Places to Learn. Ministry of Education, 
Government of Ontario. www.edu.gov.on.ca/eng/ 
document/reports/healthyschools/report.pdf; p 4. 
31. Ibid; p 2. 
32. Breakfast for Learning, Canadian Living 
Foundation. Our Mission: Nourishing Canada’s 
Children. www.breakfastforlearning.ca. Accessed 
April 2006. 
33. Ontario Prevention Clearinghouse (February 
2006). The Case for Prevention: Moving upstream to 
Improve Health for all Ontarians; p 6. 
34. Breakfast for Learning, Canadian Living 
Foundation. Our Mission: Nourishing Canada’s 
Children. www.breakfastforlearning.ca. Accessed 
April 2006. 
35. Veugelers PJ, PhD  Fitzgerald AL, MSc. (2005). 
Eff ectiveness of School Programs in Preventing 
Childhood Obesity: A Multilevel Comparison. 
American Journal of Public Health: March 2005, 
Vol. 95, No.3 200595:432 435. 
36. Ontario Prevention Clearinghouse (2006). The Case 
for Prevention: Moving upstream to Improve Health 
for all Ontarians; p 4. 
37. World Health Organization. Health Impact 
Assessment: The Determinants of Health. www.who. 
int/hia/evidence/doh/en/; accessed April 2006. 
38. Region of Waterloo Public Health. A Glance at 
Access to Food. Sept., 2004.new 
39. Ministry of Public Infrastructure Renewal. Places 
to Grow – Growth Plan for the Greater Golden 
Horseshoe. 2006 new 
40. Barbolet B. (2002). Bringing Food Back Home. 
Shared Vision Magazine, August 2002. 
41. Ibid. 
42. Farming Solutions. Background: The Future of 
Farming. www.farmingsolutions.org; accessed 
April 2006. 
43. Shamley F and Jacobs A. (2001). Farming and You: 
Re-examining the Relationship Between Farmers 
and Consumers. Ontario Healthy Communities 
Coalition Update: Spring/Summer 2001; p 10. 
44. World Health Organization, Food Safety site. 
Chemical Risks in Food. www.who.int/foodsafety/ 
chem/en/ accessed April 2006. 
45. Ibid. 
46. Canada’s Digital Collections, Government of 
Canada. Agromedia: Biotechnology, Major Concerns. 
http://collections.ic.gc.ca/highway/english/index. 
html; accessed April 2006. 
47. Desjardins, E. et al. Protecting Our Food Supply 
– Public Health Implications of Food Biotechnology. 
Ontario Public Health Association. 2001 accessed 
on-line Sept. 20, 2006 at www.opha.on.ca/ 
ppres/2001-01_pp.pdf new 
48. Canadian Nurses Association. (2001). Position 
Statement: Food Safety and Security are 
Determinants of Health; p 1. 
54 Healthy Food, Healthy Community A Community Action Guide
49. MacRae, R. et al. Ontario Goes Organic: How to 
Access Canada’s Growing Billion Dollar Market 
for Organic Food. World Wildlife Fund Canada 
and the Organic Agriculture Centre of Canada. 
2006. accessed on-line Sept. 20, 2006 from the 
Organic Agriculture Centre of Canada at www. 
organicagcentre.ca new 
50. Canada’s Digital Collections, Government of 
Canada. Agromedia: Biotechnology, Major Concerns. 
http://collections.ic.gc.ca/highway/english/index. 
html; accessed April, 2006. 
51. National Farmer’s Union. NFU Sustainable 
Agriculture Policy. www.nfu.ca/sustag.htm; 
accessed April 2006. 
52. Shamley F and Jacobs A. (2001). Farming and You: 
Re-examining the Relationship Between Farmers 
and Consumers. Ontario Healthy Communities 
Coalition Update: Spring/Summer 2001; p 1. 
53. Ontario Federation of Agriculture. Fact Sheet: 
Considering Life in the Country? www.ofa.on.ca; 
accessed April 2006. 
54. Ibid. Fact Sheet: Ontario Farmers – Food For 
Thought. 
55. Shamley F. and Jacobs A. (2001). Farming and You: 
Re-examining the Relationship Between Farmers 
and Consumers. Ontario Healthy Communities 
Coalition Update: Spring/Summer 2001; p 1. 
56. Ibid. 
57. Ibid. 
58. Ibid; p 7. 
59. Region of Waterloo. Rural Health Study. 2003 
60. Martin Luther King, as quoted by Oxfam 
International on www.maketradefair.com 
61. Xuereb, Mark. Food Miles: Environmental 
Implications of Food Imports to Waterloo Region. 
Region of Waterloo Public Health. November 2005 
62. Xuereb M. (2005). Food Miles: Environmental 
Implications of Food Imports to Waterloo Region. 
Region of Waterloo Public Health. www.chd. 
region.waterloo.on.ca; p 3. 
63. Bentley S and Barker R. (April 2005). Fighting Global 
Warming at the Farmer’s Market: The Role of the 
Local Food Systems in Reducing Greenhouse Gas 
Emission, Second Edition. FoodShare Toronto. www. 
foodshare.net/resource/fi les/ACF230.pdf; accessed 
May 2006. 
64. Sierra Club of Canada. Atmosphere and Energy: 
Climate Change. www.sierraclub.ca/national/ 
programs/health-environment/food-agriculture/ 
campaign.shtml?x=840; accessed April 2006. 
65. Sierra Club of Canada. Safe Food and Sustainable 
Agriculture: Food Miles Campaign. www.sierraclub. 
ca/national/programs/health-environment/food-agriculture/ 
campaign.shtml?x=840; accessed April 
2006. 
66. Ibid. 
67. Oxfam International, Make Trade Fair Campaign. 
The Issues: Market Access. www.maketradefair.com; 
accessed May 2006. 
68. Ibid. The Issues: Labour Rights. 
Part Four – Recipe for Success: Solutions and Strategies to Build CFS 
1. Food Security Projects of the Nova Scotia Nutrition 
Council and the Atlantic Health Promotion 
Research Centre, Dalhousie University. (2005). 
Thought About Food? A Workbook on Food Security 
and Infl uencing Policy. www.foodthoughtful.ca; p 
15. 
2. Ibid; p 25. 
3. The Health Communication Unit, at the Centre for 
Health Promotion, University of Toronto. (2004). 
Developing Health Promotion Policies, Version 1.0. 
On-line at www.thcu.ca/infoandresources.htm; 
p 2. 
4. Food Security Projects of the Nova Scotia Nutrition 
Council and the Atlantic Health Promotion 
Research Centre, Dalhousie University. (2005). 
Thought About Food? A Workbook on Food Security 
and Infl uencing Policy. www.foodthoughtful.ca; p 
18. 
5. Communities and Schools Promoting Health. 
School Health Policies. www.safehealthyschools. 
org; accessed May 2006. 
6. World Health Organization. (1998). Health 
Promotion Glossary. whqlibdoc.who.int/hq/1998/ 
WHO_HPR_HEP_98.1.pdf. 
Part VII References 55
7. Food Security Projects of the Nova Scotia Nutrition 
Council and the Atlantic Health Promotion 
Research Centre, Dalhousie University. (2005). 
Thought About Food? A Workbook on Food Security 
and Infl uencing Policy. www.foodthoughtful.ca; p 
18. 
8. Communities and Schools Promoting Health. 
School Health Policies – Principles. www. 
safehealthyschools.org; accessed May 2006. 
9. Vallianatos M. (2002). Healthy School Food Policies: 
A Checklist. Center for Food and Justice, Urban 
and Environmental Policy Institute. On-line at 
http://departments.oxy.edu/uepi/cfj /publications/ 
healthy_school_food_policies_05.pdf 
10. Beyond Factory Farming Coalition. 
Community Food Systems: Food Charters. www. 
beyondfactoryfarming.org/success/food_systems. 
html; accessed May 2006 
11. Social Planning Council of Winnipeg  Public 
Health Agency of Canada. (2005). Towards a 
Manitoba Food Charter: An Invitation to a Province- 
Wide Conversation on Food. Online at www.spcw. 
mb.ca; p 2. 
12. Food Security Projects of the Nova Scotia Nutrition 
Council and the Atlantic Health Promotion 
Research Centre, Dalhousie University. (2005). 
Thought About Food? A Workbook on Food Security 
and Infl uencing Policy. www.foodthoughtful.ca; p 
16. 
13. Dietitians of Canada (2005). Individual and 
Household Food Insecurity in Canada: Position of 
Dietitians of Canada. www.dietitians.ca/news/ 
downloads/Food_Insecurity_position.pdf; p 8–9. 
14. Food Security Projects of the Nova Scotia Nutrition 
Council and the Atlantic Health Promotion 
Research Centre, Dalhousie University. (2005). 
Thought About Food? A Workbook on Food Security 
and Infl uencing Policy. www.foodthoughtful.ca; p 
10. 
15. Sierra Club of Canada. Agriculture, Climate Change 
and Health. www.sierraclub.ca/national/programs/ 
health-environment/food-agriculture/campaign. 
shtml?x=840; accessed April 2006. 
16. Oxfam International, Make Trade Fair Campaign. 
Fair Trade and You. www.maketradefair.com; 
accessed May 2006. 
17. Ibid. 
18. Beyond Factory Farming Coalition. Community 
Food Systems: Community Shared Agriculture. www. 
beyondfactoryfarming.org/success/food_systems. 
html; accessed May 2006. 
19. Ibid. 
20. Thunder Bay Food Action Network and Thunder 
Bay District Health Unit. Gleaning: Neighbours 
Picking Together (brochure). Online at: www.tbdhu. 
com/food/security/Gardening.htm; accessed May 
2006. 
21. Thunder Bay Food Action Network and Thunder 
Bay District Health Unit. School Nutrition Programs 
in Thunder Bay (brochure). www.tbdhu.com/food/ 
security/SchoolNutritionPrograms.htm; accessed 
May 2006. 
22. Nutrition Resource Center. The Community Food 
Advisor Program. www.nutritionrc.ca/programs/ 
index.html; accessed May 2006. 
23. Ibid. 
56 Healthy Food, Healthy Community A Community Action Guide

Healthy Food, Healthy Community: A Community Action Guide

  • 1.
    Healthy Food, HealthyCommunity A Community Action Guide The Ontario Healthy Communities Coalition Second Edition 2006 Th is document was prepared with funds provided by the Ministry of Health Promotion for the Province of Ontario. Th e information contained herein refl ects solely the views of the authors and is not offi cially endorsed by the Province of Ontario.
  • 2.
    Reproduction You arefree to copy, distribute or display this document and make derivative works under the following conditions: Attribution: You must credit the original author (Ontario Healthy Communities Coalition). Non-commercial: You may not use this work for commercial purposes. Share Alike: If you alter, transform or build upon this work, you may distribute the resulting work only under a license identical to this one. For any reuse or distribution you must make clear to others the license terms of this work. Any of these conditions may be waived with written permission from the Ontario Healthy Communities Coalition. Acknowledgements Th is guide was originally produced by the Ontario Healthy Communities Coalition in 1997. Contributors to the fi rst edition included Lauren Baker, Phyllis Ingram, Krow Fischer, Katie Burnett, Cheryl Hanson, Toba Bryant and Emma Walker. Many others provided feedback on the draft manuscript and supported its development. We would like to acknowledge the excellent work of all the members of the original Healthy Food, Healthy Communities team. While some of the information contained in the original guide has been retained, a substantial amount of new material has been researched, compiled and written for this edition. We would like to acknowledge the following contributors to the second edition: Research and Writing: Lorna Heidenheim and Meridith Sones Reviewers: Tracy Allan-Koester, Th eresa Schumilas, Linda Davies Editing: Michelle Bullard Layout: MediaDoc Inc. Illustrations: Leslie Fraser Th anks also to all of the individuals and organizations that produced the numerous resources that were used to help create the content of this document, and to the OHCC staff and Board of Directors for their support of this project. Finally, we would like to acknowledge the fi nancial support provided by the Ontario Ministry of Health Promotion for the development and printing of this guide.
  • 3.
    Table of Contents Introduction 1. The Big Question . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2. What Is This Guide About? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3. Who Is This Guide For?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Part I From the Root Up: Community Food Security Defi ned 1. Community Food Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2. Healthy Communities and Food Security. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Part II You Are What You Eat: Food and Our Health 1. Food Security as a Determinant of Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 2. The Social Gradient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 3. The Link Between Food and Chronic Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 4. Prevention Makes Cents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Part III Digging Deeper: Community Food Security Issues 1. Poverty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 2. Obesity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 3. Nutrition in Schools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 4. Community Design and Food Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 5. Food Production and Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 6. Our Food System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 7. Food Transportation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
  • 4.
    Part IV Recipefor Success: Strategies for Building Food Security 1. The Healthy Communities Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 2. Community Food Security Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 3. Healthy Public Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 4. Community Actions and Programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Buy Local . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Fair Trade. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Community Gardens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Community Shared Agriculture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Community Kitchens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Gleaning Projects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 School-Based Nutrition Projects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Food-Buying Clubs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Food Co-operatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Peer Education Programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Part V Through the Grapevine: Learn More About Community Food Security . . . . . . . . . . . .41 Part VI Glossary of Key Terms . . . . . . . . . . . . . . . . . . . . . . . . . . .51 Part VII References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
  • 5.
    1 1. TheBig Question Th e roots of hunger and malnutrition run deep. Each and every morning, an alarming number of people wake up wondering where their next meal will come from, and how they will feed their family. Th is challenge is a global crisis that penetrates deeply into both poor and wealthy nations. Th e struggle to access adequate amounts of safe and nutritious food is an obstacle that sits on the doorstep of many communities, both in Canada and beyond. As the number of undernourished people has grown, though, so too has our global food basket. In fact, the world is now collectively producing enough food to feed all the people on the planet.1 How is it, then, that more than 800 million human beings do not have enough to eat in a world that produces enough food to feed every man, woman and child?2 If food supply is not the problem, why are so many people struggling to access the food they need to live a healthy life? Th is question was formally addressed in 1996 during the World Food Summit in Rome. At the summit, 187 countries joined together in a commitment to eliminate hunger and cut the number of undernourished people throughout the world in half by the year 2015.3 Canada was included in this group of nations that publicly recognized food as a fundamental right of all people on earth. In response to this commitment, Canada’s Action Plan for Food Security was created. Since its release in 1998, Canada’s Action Plan has served as a long-term strategy to improve food security both at home and abroad. It takes a wide approach to food security, and includes issues related to food access, INTRODUCTION Stat Snack! “It is estimated that 35,000 people around the world die each day from hunger, and a larger number of people suff er from malnutrition.”5
  • 6.
    sustainable agriculture andrural development, trade, emergency prevention and preparedness, and promoting investment in the agri-food sector.4 Canada’s Action Plan for Food Security is used as a guide by government departments, health units, schools, community organizations and others who are working to provide an adequate, nutritious and sustainable food supply. 2. What Is This Guide About? Th rough this guide we hope to raise awareness of the importance of adequate access to nutritious food as a determinant of health and of community food security initiatives as a health promotion strategy. Th e guide is designed to educate and inspire Ontarians about community actions that promote food security. It raises many complex issues and challenges in community food security, but also provides information about many eff ective projects that are currently operating within the province. We have invited some of these groups to share their stories with others through this publication, and hope they will inspire individuals to initiate or join community food security programs in their own areas. While we have not provided step-by-step instructions for project development, we have proposed fi rst steps and have included a section on resources to help you fi nd out more about topics that interest you. 3. Who Is This Guide For? Healthy Food, Healthy Communities is specifi cally aimed at individuals and community groups in Ontario who envision a food-secure community and want to support food security at the local level. Readers may come from a variety of backgrounds, such as community action centres, nutrition programs, health units, food industries, neighbourhood associations, community health centres or other community groups; however, we hope that anyone who is concerned about people who are experiencing hunger or who is interested in fi nding ways to enhance the quality of our food and our food experiences will fi nd something of value in this guide. 2 Healthy Food, Healthy Community A Community Action Guide
  • 7.
    FROM THE ROOTUP: Community Food Security Defi ned I 3 1. Community Food Security For the purposes of this guide, we have adopted the following defi nition of community food security (CFS): A situation in which all community residents obtain a safe, culturally acceptable, nutritionally adequate diet through a sustainable food system that maximizes community self-reliance and social justice.1 Community food security is more than having an ample food supply. Th e following factors are also important elements of CFS: Accessibility Central to CFS is the ability of people to access the food required to live a healthy and productive life. Everyone deserves to be able to eat food that helps them achieve optimal health and well-being. In reality, however, people’s ability to access this type of food varies based on both its aff ordability and availability. An unhealthy diet is less often a matter of personal choice and more often a function of social and economic inequalities. In addition, a community’s food environment; i.e., the food options that exist in a given area, also determines what dietary choices are available. Acceptability CFS not only includes accessibility to food, but also considers whether the foods that people eat meet their individual needs. Th e acceptability of food can be looked at in diff erent ways. Is the food suitable from a cultural standpoint? Is the quality of food acceptable from a health and safety perspective? Both of these questions are important when considering community food security.
  • 8.
    Sustainability In additionto identifying how food is accessed, CFS also looks at the sustainability of the food system; in other words, whether the current food system ensures a safe and high quality food supply for both now and the future.2 Th e way in which food is produced, distributed and purchased can have a major impact on the health and well-being of producers and consumers. Th e food system also aff ects the quality of the air we breathe, the water we drink, the biodiversity and balance in our ecosystem and the vitality of our natural environment. Together, the degree of accessibility, acceptability and sustainability of our food supply determines the level of food security of our communities.3 Our understanding of these factors is important to making the link between CFS and healthy communities. Th ey help us grasp how community food security is grown from the root up, which is vital to building long-term solutions that promote a healthier future for communities across the province. “Hunger is more than just the physical desire for food. People hunger for mental, social, emotional and spiritual food too.”4 Food is more than a commodity that we consume at breakfast, lunch and dinner. It is symbolic and carries signifi cant social and cultural meaning. Th erefore, lack of access to culturally appropriate, nutritious and safe food can aff ect more than just our physical health. Th e inability to access the right quality and quantity of safe and suitable food, combined with lack of control over one’s food situation, is called food insecurity.5 Although the eff ects of food insecurity begin at the individual level, these consequences can quickly ripple to undermine the physical, mental, emotional and environmental health of families and communities. In a recent study, food-insecure families identifi ed feelings such as powerlessness, guilt, inequity, embarrassment, anxiety and frustration related to their failure to access the food they needed.6 When people were unable to access a suitable food supply, because of either aff ordability or availability, both their physical and psychological well-being were aff ected, leading to a general sense of impoverishment.7 When groups of people have access to the food they need, they are able to live happier and healthier lives. 2. Healthy Communities and Food Security A vision of a Healthy Community always includes a multitude of ways to access healthy food, but there are many other benefi ts that arise from creating food security through a Healthy Communities process. Th ese include: • enhanced personal health • economic development • more meaningful jobs • increased community spirit • reduced overlap and duplication in services and programs • increased viability of smaller family farms • protection of rural culture • improved water and air quality • economic and environmental stability • safe and supportive communities8 4 Healthy Food, Healthy Community A Community Action Guide
  • 9.
    Th ere aremany common elements among Healthy Community and community food security initiatives, such as: • acknowledgement of access to healthy food as a basic need and an important determinant of health • recognition of the inter-relationship of economic, environmental and social issues • incorporation of the principles of the Ottawa Charter for Health Promotion, which promotes building of healthy public policy, creating supportive environments, strengthening community actions and developing personal skills • emphasis on multi-sectoral participation; a food-secure community requires co-operation among all those involved in the food system, including growers and producers, citizen groups, community agencies, governmental organizations, businesses, academic researchers and environmental advocates • promotion of adequate incomes for both consumers and producers • promotion of local and diverse food production • promotion of environmental sustainability and the protection of local agricultural lands and fi sh habitat • support eff orts to improve to improve water and air quality and reduce greenhouse gas emissions • support for food-based community economic development.9 People who support community food security advocate for a food system where both individual and collective needs are met. Community food security approaches the issue of food access from a population health perspective, and seeks to reduce health inequalities through the pursuit of social justice.10 Advocates for community food security come from a variety of disciplines, professions and organizations, which adds valuable diversity to our understanding of the problems and issues.11 By working together to increase food security at the community level, we are helping to establish safe and supportive environments in which we, our children and our grandchildren can thrive. Part I From the Root Up: Community Food Security Defi ned 5
  • 10.
    6 Healthy Food,Healthy Community A Community Action Guide
  • 11.
    YOU ARE WHATYOU EAT: Food and Our Health II 7 1. Food Security as a Determinant of Health “Societies that enable all citizens to play a full and useful role in the social, economic and cultural life of their society will be healthier than those where people face insecurity, exclusion and deprivation.”1 How is good health generated? Are people unhealthy by choice? What factors are responsible for the growing gap between those who are healthy, and those who are not? Th ese are important questions to ask when considering the growth of healthy communities. While behavioural patterns such as diet and exercise, the genes we inherit and our access to healthcare are important determinants of health, the most powerful predictors of health are related to the social, economic, physical and political environments in which we live.2 Th ese factors determine our ability to make choices that support a healthy and productive life, and are often referred to as the social determinants of health. Th e social determinants of health interact with behavioural patterns to shape our understanding of how health disparities within communities are generated.3 Th e social determinants include, but are not limited to, the following: 4 • income and income distribution • social inclusion and exclusion • employment and working conditions • unemployment and job insecurity • health services • the social safety net • early life and childhood care • education • housing • food security
  • 12.
    Th e socialdeterminants of health do not operate in isolation of one another. Several factors may impact the same individuals or populations at the same time. For example, a recent health survey of Canadians found that the odds of reporting food 2. The Social Gradient Th e health inequalities that are apparent between diff erent rungs of the social ladder are collectively referred to as the social gradient.7 Various patterns of health behaviours and outcomes are revealed along this grade. For example, when it comes to diet, those at the bottom of the social gradient are more likely to sacrifi ce quality for aff ordability by replacing fresh food with cheaper, processed foods. In terms of overall health, individuals who sit lower on the social gradient have a shorter life expectancy, and face a greater risk of disease and premature death than those at the top.8 In general, people who are higher on the social ladder live longer, healthier lives than those below them. Statistics Canada’s Findings from the Canadian Community Health Survey reported that “Adults in 3. The Link Between Food and Chronic Disease Good nutrition is essential to good health. Malnutrition has a negative impact on the overall physical health of those who suff er from it, particularly by increasing the risk of disease. Th ese eff ects are not only products of hunger; malnutrition occurs in instances of both food poverty and food plenty.13 Hunger can lead to defi ciency diseases related to poor intake of micronutrients such as vitamin A and iron.14 On the other hand, excess food intake is a major cause of obesity and various chronic conditions.15 Chronic diseases are long-term illnesses that are diffi cult and often impossible to cure and include cancer, cardiovascular disease, diabetes, kidney disease and respiratory illnesses.16 Chronic diseases insecurity increased with declining income and reliance on social assistance.5 Th is “clustering of disadvantage” within populations creates a widening gap between those who are healthy, and those who are not. 6 the highest income households were less likely than those in the lowest to have fewer than fi ve daily servings of vegetables and fruit”.9 As the gap between the rich and poor continues to grow in Canada, the overall level of food security among Canadians and their families is declining.10 Th e social and economic imbalances between diff erent groups within society aff ect more than individual health status; they actually bring down the general health status of the whole population.11 By investing in the social determinants of health, we can improve the well-being of these underprivileged populations and, in turn, provide health benefi ts for all Canadians.12 are the leading cause of death and disability worldwide, and are a growing threat to the health and well-being of Canadian communities.17 Stat Snack! • Cancer, cardiovascular disease, diabetes, kidney disease and respiratory diseases are the cause of 75% of deaths within Canada.18 • Low-fat diets that are high in fruits and vegetables have been found to reduce the risk of heart disease, obesity, certain cancers, stroke and other vascular diseases.19 8 Healthy Food, Healthy Community A Community Action Guide
  • 13.
    In addition toan unhealthy diet, there are other factors that predispose individuals to chronic disease, such as: • high blood pressure • high cholesterol • obesity • physical inactivity • tobacco • alcohol 20 It is also important to recognize the importance of social risk factors. Th ey are listed below, with an example of how each one can have a negative impact on individual health.21 Social and economic conditions, such as poverty, employment, family composition Example: Low-income families and those who face unsteady employment often fi nd preventative diets (such as those high in fresh fruits and vegetables) unaff ordable. Environment, such as climate and air pollution Example: Th e high reliance on long distance food imports into cities increases greenhouse gas emissions and air pollution, which contributes to asthma and other respiratory conditions.22 Culture, such as practices, norms and values Example: Increasingly busy in their daily lives, many people have less time to prepare foods and pack lunches for their children. In fast-paced Western culture, fast-food alternatives that are marketed as convenient and aff ordable become more attractive for families with busy schedules. At the same time our valued rural cultures are being lost as family farming becomes less viable in a consolidated and globalized system. Stat Snack! • Northern Ontarians experience 51% higher rates of heart disease than the Ontario average.25 • Franco-Ontarians are more likely to be overweight than other Ontarians.26 • Over half of Waterloo Region residents consume fewer than the daily recommended number of servings of fruits and vegetables. 27 Urbanization, such as housing, access to products and services Example: Low-income housing clusters poor and vulnerable groups together in areas that lack supermarkets and have a higher concentration of convenience stores.23 Food is about 1.6 times more expensive in convenience stores than in grocery stores and healthy food options are more limited.24 Th e risk factors for chronic disease aff ect certain populations more than others. As a result, health diff erences can be seen between diff erent regions Stat Snack! and groups of people within Canada. • 80% of all chronic disease is preventable through low-cost strategies.29 Part II You are What You Eat: Food and Our Health 9
  • 14.
    4. Prevention MakesCents In addition to being among the most common health problems facing Canadians, chronic diseases are also the most expensive. Each year, chronic disease costs Canadians $28 billion and is estimated to account for 55% of Ontario healthcare costs.28 Prevention can pay off in many ways. In addition to reducing the fi nancial burden on the healthcare system, it enables and encourages healthy lifestyle behaviours that increase individual health and support well-being. Healthier individuals make healthier communities. Disease prevention is therefore in everyone’s best interests, and is crucial to the future growth and sustainability of healthy Ontario communities. 10 Healthy Food, Healthy Community A Community Action Guide
  • 15.
    DIGGING DEEPER: CommunityFood Security Issues III 11 “Life is short where its quality is poor.”1 Food insecurity is a product of poverty. When families are on a limited income, they are forced to prioritize their basic needs in order to survive. Since shelter costs are fi xed, these expenses often move to the front of the household budget and take precedence over all other needs, including food.2 Th is is a serious concern, as the growing shortage of aff ordable housing in Canada is causing more and more people to spend a greater portion of their income on housing.3 After shelter costs have been paid, often the remaining income must be thinly spread over the remaining costs of living. As a result, other determinants of health are weakened, which opens the door to food insecurity. Mothers often carry the burden of food insecurity fi rst, as they attempt to avoid hunger for their families. To make the food budget bigger, mothers may attempt to free up income by selling their possessions or giving up services that are often taken for granted by many people, such as the telephone.4 Th ey may also attempt to lessen the weight of hunger by cutting portion sizes and altering recipes to “stretch” a meal.5 Many families rely on food banks for their food, while some mothers may go hungry themselves so their children have something to eat.6 Th e Ontario Nutritious Food Basket is a food costing tool that can be used to measure the cost of healthy eating based on current nutrition recommendations. Th e food basket includes 66 food items from all four food groups from Canada’s Food Guide to Healthy Eating. Th e food items were selected from among those frequently purchased by Canadians and based on nutrient value, cost and availability in supermarkets across seasons. Along with income and rent rates, the cost of a nutritious food basket is an essential tool in assessing the aff ordability of a healthy diet. For example - it costs about $112 per week for a family of four to eat healthy in Waterloo Region (about $485/month). 1. Poverty
  • 16.
    Th is amountonly includes basic foods and assumes that people have the resources to access, store and cook the food. It also assumes no food is purchased at restaurants outside the home.7 For other Nutritious Food Basket reports prepared by other public health units see FoodNet at www. opha.on.ca/foodnet/initiatives, the internet-based resource centre of the Food Security Workgroup at the Ontario Public Health Association (OPHA). According to data collected by Opportunities Waterloo Region, a local poverty reduction group, a family on social assistance or working at minimum wage may fi nd it diffi cult to aff ord the quality and quantity of food necessary to meet their energy and nutrient needs.8 Stat Snack! In 2000, Toronto food bank users spent an average of 63% of their monthly income on shelter costs.9 Children at Risk Unfortunately, many children are not protected from poverty and the food insecurity that it can create. It is estimated that one out of every fi ve children in Canada lives in a home that reports incomes below the poverty line,10 which indicates that many children are likely to be food insecure. Homeless children, along with those who are part of lone-parent families, are at an even greater risk of poverty and food insecurity. Poor nutrition places children in danger of many negative outcomes, including decreased academic performance, violence, developmental challenges and limited job success in adulthood.11 Children who suff er from poverty face an increased risk of health and learning problems through their entire lifetime, impacting Stat Snack! Child poverty among female lone-parent families is 43%.12 their ability to live happy, healthy and productive adult lives. Individuals at Risk In addition to food insecurity, poverty is also linked to other challenges that threaten the health of individuals, including: 13 • unstable employment and low wages • stressful and dangerous working conditions • less access to basic needs such as education, transport and decent housing • less access to recreational opportunities • increased risk of addiction, illness and premature death Th e above challenges lessen an individual’s ability to fully participate in social, economic, political and cultural life. Th is is referred to as social exclusion. Social exclusion is a product of inequalities that exist between individuals and groups in society. Th ese inequalities can arise out of oppression related to race, class, gender, disability, sexual orientation, immigrant status and religion.14 Social exclusion can undermine the health of both individuals and whole populations. Populations at Risk “It is the poorest and most vulnerable members of society – the people with no voice – who are the most likely to be food insecure and the most powerless to change their circumstances.”15 Increased risk of food insecurity is related to diff erences in income that exist between various populations in Canada. Populations that are particularly vulnerable are Aboriginal people and new Canadians. Visible minorities earn 30% less than white people and are twice as likely to be poor.16 Closing this income gap between poor and wealthy groups is important to building healthier and more inclusive communities. When resources are stretched more evenly throughout a community, self-esteem and empowerment 12 Healthy Food, Healthy Community A Community Action Guide
  • 17.
    also spreads toa greater portion of its members.17 When people feel a greater sense of belonging in their community, they also have a more positive perception of their physical and mental health.18 Lessening the burden of poverty will help people feel better about themselves, and encourage equal access to the resources they need to live a healthy life. 2. Obesity “A candy bar or an apple? Th e choice is simple when you are a seven-year-old.”19 Th e majority of Canadian adults and children are overweight20 and an alarming number of them are facing the associated health consequences. Obesity is linked to various chronic conditions, such as cancer, heart disease, hypertension, diabetes, asthma and orthopaedic injuries.21 In addition to physical consequences, the eff ects of obesity can also have a negative impact on self-image and mental health.22 Stat Snack! In the U.S., about $1 million a year is spent to advertise the fi ve to 10 a day campaign encouraging the consumption of fruits and veggies, while $10 billion a year is spent advertising processed and junk foods.25 Several factors contribute to the obesity crisis in Canadian communities. Th e excess consumption of energy-dense fats and sugars, typical of the North American diet, is a major cause of obesity.23 For poor and food-insecure populations, the consumption of these foods is the cheaper, and often only, alternative to purchasing costly nutritious foods. However, there are reasons other than income constraints that encourage us to reach for unhealthy foods. For example, more money is spent on advertising for processed foods and junk foods than for nutritious foods.24 Fast foods are marketed based on their convenience, making them more appealing for a high-paced society where “time is money.” A large portion of this advertising is targeted at children, which is contributing to the immense problem of childhood obesity in the country. In 1999, a national survey found that over one-third of children aged two to 11 were overweight.26 Th is study found that children living in low-income families were more likely to be overweight and obese, while lack of physical activity was also found to be a factor in child obesity.27 As obese Stat Snack! and overweight children are much more likely to About 80% of food become obese adults, commercials aired on an alarming number of Saturday morning kids’ Canadian children are TV shows are for foods of low nutritional value, potentially at risk of such as high-sugar health problems later in cereals and candy.28 life. Part III Digging Deeper: Community Food Security Issues 13
  • 18.
    3. Nutrition inSchools Canadian children are becoming increasingly overweight.29 Sadly, many are exposed to poor nutrition each and every school day. Th e level of food security found within schools is questionable, as access to healthy lunches and snacks is often minimal. A review of elementary school vending machines found that the majority of the foods and beverages off ered in schools were nutrient-poor, high in fats and added sugars, and of increased portion size not necessary for young children.30 Th ese foods are readily available to youth who often do not understand the consequences of eating them and, in many cases, do not have access to healthier food choices. In addition to the costs of growth and development, poor nutrition also has a negative impact on Stat Snack! Approximately 27% of boys and 23% of girls in Grade Six to Eight consume candy and chocolate bars daily.31 social behaviours and lower rates of suicide and depression, and are more likely to graduate from school.33 Healthy children are more likely to grow into healthy adults. When schools fi ll their vending machines with junk food, they are missing a valuable opportunity to encourage their students to make nutritional Stat Snack! choices and acquire healthy habits that can Approximately 31% last a lifetime. of elementary school students and 62% of A recent study found secondary students that students from do not eat a nutritious schools participating in breakfast before a school-based nutrition heading to school.34 program showed lower rates of obesity, had healthier diets and reported more physical activities than students from schools without nutrition programs.35 Th is issue of food security in schools is complicated by the fact that many students are showing up to school hungry. Th is could be a result of many factors, such as lack of food options in the home or a hectic family schedule that results in children skipping breakfast. School-based nutrition programs, which are discussed later in this guide, are addressing this issue and are showing some promising results. a child’s ability and motivation to learn and focus at school. Th ose who don’t get enough to eat are more tired than those who do, have a shorter attention span and don’t learn to solve problems as well.32 On the contrary, healthy children have improved literacy levels, lower incidence of violent and negative 4. Community Design and Food Security Land use, community design and transportation planning have an impact on our health in relation to disease and injury as well as quality of life. For example, communities that lack sidewalks, park space, bike lanes and recreation programs are creating fewer opportunities for people to be active.36 Another example is the location of local markets and supermarkets in our communities, and the impact it can have on our dietary patterns. Th e rise of large-chain grocery stores and closure of small suppliers has created “food deserts” in many communities.37 When grocery stores become bigger in size but fewer in number, they become more diffi cult to access, particularly for people who rely on public transportation. In low-income 14 Healthy Food, Healthy Community A Community Action Guide
  • 19.
    communities, families oftenend up relying on the convenience store on the corner, where fresh, healthy options are few and far between. In a recent survey of convenience stores, Region of Waterloo Public Health found that healthy food items were less available compared to grocery stores and fruits and vegetables were the least available foods. As well, food at convenience stores is about 1.6 times more expensive than grocery stores.38 So called “complete communities”, as described in Ontario’s Growth Plan for the Greater Golden Horseshoe, integrate land use by having retail, offi ce, residential, open space, schools and services within the same area. Mixing land uses in this way promotes greater physical activity by allowing residents to complete daily tasks by walking, cycling or using public transit. Because of their greater densities and vital retail markets, such communities can attract more small shops closer to where people live. Th is means food stores can be attracted into these areas so that there is greater availability of healthy food to community members.39 When paired with initiatives to ensure the viability of family farms, such as buy local initiatives, such compact urban development becomes a key strategy in preserving agricultural land and culture, strengthening rural economies and reducing reliance on food imports. “The Skinny” on Supermarkets Th e design and planning of our physical environment infl uences the foods we purchase and eat, even while grocery shopping. Many of the products sold in supermarkets are intentionally laid out to infl uence how we spend our money. Food companies actually buy shelf space from retailers, and pay signifi cant amounts of money to put their products in high-traffi c areas of the store where they are visible to the most shoppers.40 Generally, healthy and nutrient-rich foods sit around the outside of the store, while unhealthy processed foods are placed conveniently in the centre. Th ese “junk” foods may be nutritionally inadequate but they have the highest profi t margins, and are wrapped in attractive packaging and placed where they can be easily seen and easily bought.41 5. Food Production and Safety “Only if agriculture is practiced sustainably now will future generations have a chance to exercise their fundamental human right to food.” 42 Th e availability of food that has been produced in a safe, sustainable and environmentally sound manner is vital to community food security. Th e way in which food is grown can have a major eff ect on social, economic and natural environments. At one time, food was produced on farms that were mainly operated by manual labour and focused on serving the local area. However, during the past 20 years, food production in Canada has become intensely mechanical and industrial. Local agriculture has given way to big business, and food is now a major part of world trade. As a result, Canadians are losing their connection with how their food is being grown and the farmers who are growing it. Biological and technical changes to how food is produced are threatening the food security of people from all walks of life – not just the poor. Th e modern method of food production raises issues of food safety and sustainability that can challenge food security on a global scale, such as: Part III Digging Deeper: Community Food Security Issues 15
  • 20.
    Chemical Food Contamination Chemical contamination during the growing process can occur unintentionally from air, water or soil pollution, or intentionally through the use of pesticides, fertilizers and other harmful chemicals.44 Human exposure to these toxic chemicals has been linked to a variety of conditions, including cancer, heart disease, kidney and liver dysfunction, hormonal imbalance, birth defects, mental health problems and learning disabilities.45 Eff ects of Biotechnology and Genetic Engineering Modern agriculture often involves the crossing of gene material from diff erent plants and animals. Consumers have raised concerns that genetically altered foods may potentially expose them to food allergies and other health hazards.46 Despite the potential for this technology to impact the safety, sustainability, accessibility, aff ordability and democracy of our food system, there is a lack of scientifi c literature in this area. Th e broader view of health and health promotion is rarely referred to in federal government or industry material about food biotechnology.47 Food-Borne Disease A considerable portion of the world’s food production is now done by a select number of large-scale manufacturers. Th is allows for the potential spread of food-borne disease to a great number of consumers at once. Now that food is traded globally on a daily basis, it can become contaminated in one country but cause outbreaks of food-borne illness in another.48 Impact on the Natural Environment Pollution from agricultural practices, such as the use of synthetic pesticides, synthetic fertilizers and soil and manure runoff associated with poor management, disrupts land and water ecosystems and changes wildlife populations. Pesticides kill more than the organisms that are targeted, especially birds and insects.49 Th e use of harmful chemicals throughout food production has an impact on the entire ecosystem. In addition, genetically modifying foods during the growing process can lead to “genetic pollution.” Th is refers to the dangerous introduction of foreign organisms into the natural environment, which can upset the fragile balance of the ecosystem and pose a threat to biodiversity.50 Food production is only one part of the bigger picture of how food travels from the earth to our plates. Sustainability needs to be achieved throughout all levels of the growing process, including production, processing and distribution. Sustainable agriculture refers to a food system that is economically viable, socially just and ecologically sound.51 Th is will ensure that the present needs of society can be met without sacrifi cing the needs of future generations, and will help to build and maintain healthy Ontario communities for years to come. 16 Healthy Food, Healthy Community A Community Action Guide
  • 21.
    6. Our FoodSystem “Less than 10% of the average Canadian’s disposable income is spent in the supermarket, making it one of the lowest costing food baskets in the industrial world.”52 Food is big business. In fact, farming is Ontario’s second-largest economic sector.53 Thirty-seven thousand Ontario farmers grow food that will be enjoyed by people around the province and around the globe.54 The process by which food is grown in the farmer’s fi eld and transported to the tables of Ontarians has changed dramatically since the previous generation of farmers. Th e food production system has become more technologically sophisticated, which allows farmers to yield high levels of crops. Yet the technology itself is very expensive, therefore making it out of reach for all but large-scale “corporate” farms. In Ontario, small-scale family farms are struggling to keep up and many are being forced Stat Snack! “Between 1951 and 1996 the number of farms in Huron County declined by 45%.”55 out of business. Th e number of farms in Ontario is declining, while the size of the remaining farms is increasing.56 Increased prices of equipment, fertilizer, gasoline and labour have created production costs that often surpass the income of smaller farmers.57 Low returns on investment make it diffi cult for these farmers to support their families, let alone sustain their businesses. As a result, farmers are forced to consider more profi table options, such as selling valuable land to developers. Given that farms are usually located on the outskirts of urban centres, rural communities are becoming increasingly vulnerable to land development and urban sprawl. Adding to the vulnerability of small farms are other trends in the provincial farming industry, such as increased competition for available land, problems with fi nding and retaining quality labour, and a low level of public awareness and support for farming.58 Over the past several years, the eff ects of competition and subsidies in the global market have reduced the prices of agricultural commodities to record low levels. As a result, the market price of many locally grown food products may not refl ect all of the production costs, making it diffi cult for farmers to earn a living and keep their farms viable. Smaller farms are disappearing and those left are fi nding it increasingly diffi cult to compete with larger farms and the subsidized commodities from other countries. Agricultural policies and regulations tend to refl ect the interests of the larger, corporate farms. As a result of all these factors, farmers are facing a great deal of stress and major fi nancial concerns and there is a great loss of young people from rural communities.59 Broader political and social issues are refl ected in the current trends of the agricultural industry. For example, municipal bylaws often dictate where and to what scale farms can operate. From a social perspective, consumers perceive farming as undesirable and are prioritizing cheap food over the economic health of those that are growing it. Ontario is now witnessing the rise of bigger, more intensive farms that tend to be less sensitive to environmental and local community needs. Farmers do more than just produce food for people to enjoy; they help to sustain healthy communities by creating jobs, supporting the local economy and conserving natural resources, such as water, soil and trees. However, given the current challenges facing them and their families, there is little motivation for younger generations to carry on a family tradition of farming. We are losing skills and knowledge, and the future of farming is at stake. By exercising our purchasing power and making choices that support our communities, such as buying local food, we can show that we care about the future of Ontario farming. Part III Digging Deeper: Community Food Security Issues 17
  • 22.
    7. Food Transportation “Before you’ve fi nished your breakfast this morning, you’ll have relied on half the world.”60 When you reach for your morning coff ee, have you ever wondered what it took to get the coff ee beans from the earth into your espresso? Canadians make food purchases on a daily basis that aff ect energy consumption. During the past three decades, Canadians have reached for an increasing number of food products that have been imported from great distances.61 For example, a recent study of imports of 31 commonly-eaten foods capable of being grown or raised in Waterloo Region tracked the distances travelled. Imports of the studied foods traveled an average of over 4,500 km and generated an average of 1.8 kg of greenhouse gases for every kg of food imported. Th ese foods generated a total of over 50,000 tonnes of greenhouse gas emissions annually – equal to the average emissions of over 16,000 cars on our roads each year.62 Th e importing of food over long distances raises several environmental, health and moral challenges. Our Environment Our dependency on fossil fuels to produce, package and distribute food is a signifi cant contributor to greenhouse gas emissions and air pollution. Transportation accounts for one-quarter of Canada’s energy consumption and produces one-quarter of our greenhouse gas emissions, more than any other sector of the economy.63 Greenhouse gases, such as carbon dioxide and methane, trap heat in the atmosphere and cause climate change by raising global temperature.64 Our Health Th e pollution that results from importing food over great distances decreases the quality of the air we breathe, and therefore has negative eff ects on our health. Th e burning of fossil fuels emits air pollutants and smog, while also helping to deliver aeroallergens such as pollen, mould and dust into the body.65 Unhealthy air masses cause respiratory damage and lead to the rise and aggravation of asthma and other related diseases. Our Food To accommodate for the distance food must travel, producers rely heavily on chemicals and processing to reduce spoilage before the food reaches the marketplace.66 Th e introduction of pesticides and food processing and other harmful chemicals into produce has negative consequences on our ecosystem and the safety of the food we eat. Our Global Community As local food systems decline, rich countries are becoming increasingly dependent on developing nations for their food. Th is relationship is often exploitive for Th ird World countries. For example, world trade policies allow rich countries to charge high taxes on imported goods. Th is controls the amount that poor countries can aff ord to export and limits their share of the world market to raw, less-profi table goods.67 Th is is destructive for local economies of Th ird World nations and the small-scale farmers who work within them. Increased trade in developing countries has also drawn millions of people into the labour force, where employees often face unsafe and exploitive working conditions. Lack of labour rights in these nations can expose workers to insecure contracts, intense production pressure, and intimidation in the workplace.68 18 Healthy Food, Healthy Community A Community Action Guide
  • 23.
    RECIPES FOR SUCCESS: Strategies for Building Food Security IV 19 Th roughout this guide, we have explored the roots of community food security in order to grow our understanding of its underlying meaning and importance. In addition, we have looked at how food security is linked to other social, economic and health factors. Now that we have a better appreciation of the issues, our next step is to put our knowledge into action! 1. The Healthy Communities Process What does the path to healthier Ontario communities look like? Healthy Communities is a process by which a community determines its own issues, needs and action plans, using an approach that includes four fundamental characteristics: Wide Community Participation: Community participation in community planning and decision-making is essential for there to be a high quality of life for all. Broad Involvement of All Sectors of the Community: Each fi nding ways in their day-to-day activities to contribute towards the goal of a healthier community. For food security, this could involve partnership and co-operation with farmers, social and health organizations, environmental groups, local residents, and business and labour organizations, among others. Local Government Commitment: Th e mayor and local councillors should be committed to building a healthier community. Each department (e.g., parks and recreation, public works, planning) works towards the shared vision of a healthy community. Creation of Healthy Public Policy: Decisions or actions intended to have a positive eff ect of the health of people, involving community participation in planning and implementation. Governments should consider the broad range of factors that aff ect health and quality of life, and allocate resources and funds accordingly.
  • 24.
    2. Community FoodSecurity Strategies Th ere are several important way to create positive change towards a more food-secure future for Ontario communities. Community food security strategies fi t into three broad categories: 1 • short-term solutions to provide emergency relief • healthy public policy to create change at the system level • community actions to mobilize community members Short-term solutions are those that follow a charitable model, such as food banks and soup kitchens. Although these strategies provide important relief to the hunger crisis, they do not deal with the root causes of food insecurity and therefore do not bring about sustainable change for our communities. Our focus will be on the remaining two categories: capacity building and system change through healthy policy development. Th ese methods take a multi-sectoral approach and aim to create changes that are long term and population wide. Community Food Security programs address the social, economic and environmental determinants of health. 4PDJBM &OWJSPONFOU $POWJWJBM -JWFBCMF 7JBCMF )FBMUI &RVJUBCMF 4VTUBJOBCMF &DPOPNZ 1SPTQFSPVT t 4PDJBMDPOUBDU t /FUXPSLT t 'BNJMZCPOEJOH t $FMFCSBUJPOT t 'FTUJWBMT t $VMUVSBMMZBQQSPQSJBUF t 4LJMMEFWFMPQNFOU t EBQUFEGPSBCJMJUZ t DDFTTUPGPPE t .BSLFUJOHPGMPDBMGBSNHPPET BOEGBSNJOHDPNNVOJUJFT t -PDBMDBUFSJOHTFSWJDFTBOE PUIFSTNBMMCVTJOFTTFT t 4BGF t /VUSJUJPVT t 'SFFPGDPOUBNJOBOUT t JSRVBMJUZ t OFSHZDPOTFSWBUJPO t #JPEJWFSTJUZ 20 Healthy Food, Healthy Community A Community Action Guide
  • 25.
    3. Healthy PublicPolicy Healthy public policy puts people fi rst in our communities. Although the concept of public policy may seem daunting, it doesn’t have to be. Growing our understanding of the basics of policy is important to grasping how it can be changed to benefi t community health. A Defi nition Th e word policy refers to a plan of action that guides the decision-making of individuals, organizations and governments. Policies refl ect our values and can take many forms, including guidelines, rules, regulations, laws or principles.2 Specifi cally, healthy public policy targets the determinants of health to lay the groundwork for shrinking social inequalities and making healthier choices easier for everyone.3 It promotes community-wide health by improving widespread access to the resources required to live healthy and productive lives. Healthy Public Policy Is Important Th e development of supportive, healthy policy is perhaps the most eff ective way to build long-term food security and a more sustainable food system for our communities.4 It focuses on the underlying social causes of community food security and makes positive changes at the system level. Th e eff ects of these changes spread across all levels of the population and help to maintain community food security for the people of the present and the children of the future. However, the benefi ts of policy-making are not limited to the creation of a fi nal document. Th e importance of developing healthy policy is based on both the process and the fi nal product. Th e process of building policies that support food security engages community members to reach a shared understanding of food security issues, while inviting them to think about how these problems can be addressed through policy-focused action.5 When it comes to the development of healthy public policy, both the journey and the destination are valuable to community growth. Making Healthy Public Policy Happen Generally, the need for new or updated public policy arises when a population’s needs are not being met or the present system favours unhealthy choices. Governments are accountable for the health consequences of their policies or lack of policies.6 Th e general public often feels like the development of policy is out of their hands; however, involving aff ected communities in the process is a vital part of healthy policy-making. In terms of building community food security, listening to the voice of food-insecure populations helps us understand what the issues are and provides direction for decision-makers. Collaboration between aff ected individuals, families, organizations, businesses and government is ideal for creating eff ective healthy policies that support the growth of food-secure communities. Turn Up the Volume! Th ere are several types of initiatives that are turning up the volume on the public’s voice during policy discussions, and bringing greater awareness to the importance of healthy policy that supports food-secure communities. Here are some highlights: Food policy councils are “think tanks” for the development of programs and policies that aim to build community food security. Food policy councils are created through a diverse partnership of concerned citizens, businesses and organizations that collectively represent a community, region or province.7 Council members join forces to discuss strategies for infl uencing policy, growing community awareness and promoting community action. Armed with the power of knowledge, Part IV Recipe for Success: Strategies for Building Food Security 21
  • 26.
    passion and ideas,food policy councils advocate for long-term solutions by striving to put food insecurity on the public policy agenda. Taking Action Since 1991, the Toronto Food Policy Council has partnered with business and community groups to develop policies and programs promoting food security. For more information, visit www.toronto.ca/health/ tfpc_index.htm. Just Food, formerly the Ottawa Food Security Council, is aimed at creating a just and sustainable food system in Ottawa. Th ey work with people in all parts of the food system and serve the interests of rural and urban food producers and low-income community members, and community organizations and partners. For more information, visit www. spcottawa.on.ca/ofsc. School food policies are documents or plans of action that outline a school’s approach to all food issues, including buying, selling and consuming food in a manner that supports healthier communities. Th ese policies are used to guide and support the choices of educators, parents and students, and symbolize a shared goal of building healthier and happier spaces where students can thrive. School food policies may be adopted and implemented by the schools themselves, and by school boards, education ministries, public health units and other related sectors.8 Th ere are many goals that school food policies can set out to achieve within the school, including:9 • improving the nutrition, freshness, quality and appeal of food served and sold • improving the food preparation, service and eating environments • increase participation in school nutrition programs to ensure that no student goes hungry • integrate food service with school educational, health and environmental missions • purchase food in a manner that supports local farmers and the local economy • provide opportunities for student, teacher and public input Taking Action Does your or your children’s school have a food policy? If it doesn’t, perhaps you can join forces with others who are advocating for one to be implemented. Our “Th rough the Grapevine” section off ers several useful resources for learning more about food policies and other healthy school programs. Food charters are statements of values, principles and priorities used to point community food policy in a positive direction. Food charters are developed by bringing a diverse group of citizens together and enabling them to share their concerns and desires around food and agricultural issues in order to reach a shared vision of food security.10 Food charters take the voices and visions of community members and put them to paper. Th e end result is a community-owned and locally focused action plan to build greater food security. Both the document itself and the process used to create it are important to opening the discussion on food security issues, and mobilizing our political will to advocate for change.11 22 Healthy Food, Healthy Community A Community Action Guide
  • 27.
    Putting Public Policyon the Right Path Although the policy initiatives currently taking place to build food security for Canadians are promising, further policy changes need to be made by all levels of government in order to build community-wide food security for the long term. As part of their “Food 2002” project, FoodShare has developed a comprehensive list of 28 policy recommendations for building community food security that address the link between food and other social and economic issues. To read about these recommendations and other valuable information on food security, visit the FoodShare website at www.foodshare.net. Taking Action Th e Sudbury-Manitoulin Food Charter was developed by the Food Security Network of the Sudbury and Manitoulin Districts in June 2004, and was passed by the Sudbury District Board of Health, the City of Greater Sudbury, the municipalities of Killarney and of St. Charles and also by the Township of Tehkummah on Manitoulin Island as of September 15, 2004. For more information, contact Th e Foodshed Project at www. foodshedproject.ca or the Sudbury District Health Unit at www.sdhu.com. Toronto City Council asked their Food and Hunger Action Committee to develop a Food Charter. Th e Committee brought together city councillors, city staff , non-profi t agency staff , food program participants, volunteers, clergy and interested members of the public to work on the Charter, which was adopted by Council in 2001. View the Toronto Food Charter at www.toronto.ca/food_hunger/pdf/ food_charter.pdf. Part IV Recipe for Success: Strategies for Building Food Security 23
  • 28.
    The City ofGreater Sudbury Food Charter ...promoting community food security in the Districts of Sudbury and Manitoulin Given that access to safe, aff ordable, nutritious food is a basic human right of individuals and communities, and connects us to our families, our cultures, and our traditions; And that community food security is a comprehensive approach that includes all components of the food system, from producers to consumers, and promotes regional food self-reliance; And that having a food-secure community is the foundation of population health, social justice, community-based economic development, and a sustainable environment; Th erefore, the Food Security Network of the Sudbury and Manitoulin Districts, including Th e City of Greater Sudbury, the Social Planning Council of Sudbury, and the Sudbury District Health Unit, will work towards the development and implementation of a community food security mandate that supports research, policies, and programs that will endorse: 1) Population Health and Wellness: • Individual and household food security as a determinant of health; • Adequate income, employment, housing, and transportation policies that ensure food accessibility and availability to all citizens; and • Nutritional education and healthy food choices in schools, businesses and public places. 2) Community Development: • An annual community food security report card; • Food self-reliance through community-based food programs, such as community gardens, fresh food box programs and collective kitchens; • Multi-cultural food festivals and cultural events; • An emergency food preparedness plan; and • Th e involvement of the community in developing food security solutions. 3) Investment in the Regional Food System: • A regionally based and community-driven food system; • Th e viability of agricultural and rural communities; • Th e development of regional value-added agricultural production, food processing and distribution systems; and • Th e promotion of regional food products at farmers’ markets, farm-gate sales, and local food outlets. 4) Th e Development of a Sustainable Food System: • Public and institutional education on the interdependence between the food system and a sustainable environment; • Scientifi cally proven best management agricultural practices and regional crop varieties; • Th e development and implementation of renewable technologies in the expansion of the regional food system; • Th e reduction of persistent toxic chemicals that can accumulate within the food chain; • Sustainable waste management practices; and • Support for initiatives that minimize the loss of bio-diversity, resource depletion, and climate change, and that raise the awareness of global environmental issues. 24 Healthy Food, Healthy Community A Community Action Guide
  • 29.
    4. Community Actionsand Programs Community actions are important vehicles for building food security and building regional capacity. Community food security actions and programs aim to improve people’s access to nutritious food and promote sustainable and socially just food systems. Some programs also focus on bringing people together to produce and prepare their own food and work together for change.12 Community actions mobilize both individuals and groups to address the burden of food insecurity that may be facing them personally, or perhaps facing others in their community. Th ese programs build the capacity of individuals and populations by helping them acquire skills, strategies and resources to work through these challenges. Th is allows individuals to gain some control over very basic parts of their lives, such as feeding their families. Taste the Benefi ts! Although community action programs alone will not solve all food insecurity issues, they provide several powerful benefi ts: 13 • preservation of individual dignity by requiring participation, time and often investment of fi nancial resources • off ering healthier, better-quality food to low-income consumers than what is off ered through a charitable model • promoting local control over the food system and environmental sustainability • fostering self-help, mutual support and community development • off ering nutrition education and opportunities to learn about new foods • providing more opportunities for social contact and a chance to practice English language skills A Journey of a Thousand Miles Begins with Just One Step Th e following section profi les ten types of initiatives that aim to build more food-secure communities, and also includes stories of projects that are happening right here, right now, throughout Ontario. Let the energy and actions of fellow Ontarians motivate and inspire you. Turn your knowledge into action, and take a fi rst step towards helping your community build a happy, healthy and food-secure future. Let the journey begin! Buy Local Buying from local food systems can include shopping at farmers’ markets or stands where you purchase directly from the grower, and eating at locally owned establishments rather than restaurant chains.14 It is an important step in supporting local food systems that promote food security by being environmentally and economically sustainable. Fill your food basket with local products, and taste the benefi ts: • It helps the local economy. Buying local creates local job opportunities, pumps money back into the local economy and supports rural communities. • It is good for the environment. Local food systems reduce air pollution and the release of greenhouse gases by cutting down on transport. Food that is grown locally takes less energy, preservatives and packaging to get to your plate. Part IV Recipe for Success: Strategies for Building Food Security 25
  • 30.
    • It connectsgrowers and consumers. Consumers can build a greater understanding of how their food is grown and the people who are growing it, while farmers can learn about market trends and their customers’ needs and interests. • It creates a stronger sense of community. Communities come together to support locally produced food and build strong social networks. Sociologists have estimated that people have ten times as many conversations at farmers’ markets than at supermarkets.15 • It increases community access to safer, more nutritious food that tastes better. Consumers have access to a diverse selection of fresh food that often contains less chemicals and preservatives. Food grown locally generally contains more vitamins and other nutrients than foods which have been imported. First Steps: Find a local market in your area by visiting www. farmersmarketsontario.com. Some communities make available local food maps or guides that show the public how and where to buy fresh local produce. For example, FoodLink Waterloo Region produces a guide to local food called “Buy Local! Buy Fresh!” for each season, available at www. foodlink-waterlooregion.ca. Start your own “buy local” campaign. Check ecoPerth’s Local Flavour campaign at www. ecoperth.on.ca to get some ideas. Th e Local Flavour campaign recognizes the importance of our local economy and the people that rely on it for their livelihoods and is targeted to local businesses, farms, and individuals. ecoPerth suggests many ways that you can keep your food dollar as close to home as possible: • Read labels to fi gure out just how far the food you’re thinking about buying has traveled, and buy as close to home as possible. • Let food retailers and restaurants know you’d rather eat locally produced foods, and patronize those that do. • Buy foods that are “in season” rather than “imported” because they are fresher and they have more nutrients than those coming from great distances. • Purchase food from farm gate sales; i.e. products that can be purchased directly from the growers in your area. • Shop for fresh goods at local markets. Every $1 spent on local food generates more than $2 in other local business. • Join a food box program; i.e. a box of produce purchased from local growers and in some cases, delivered to your home. • Start your own vegetable garden • Buy Ontario wine – look for the VQA label. • Experiment with new seasonal recipes that encourage the use of fresh, local products. ecoPerth’s Local Flavour logo allows consumers to quickly recognize the use of local products 26 Healthy Food, Healthy Community A Community Action Guide
  • 31.
    Local Flavours Project Thousand Islands/Rideau Region Offi cially launched in July 2005 at the Brockville Farmers’ Market, Local Flavours is an initiative of the UNESCO Frontenac Arch Biosphere, which occupies a triangular area in the Th ousand Islands/Rideau region of Eastern Ontario. Th e project supports local producers and builds a stronger local economy and community. Community members are encouraged to forgo buying their produce at the large chain grocery stores, and instead buy them at the farm gate or at local markets. Th e primary task of Local Flavours is to bring together local producers and consumers, creating an economic and social partnership that benefi ts the entire community Local Flavours provides maps of producers and outlets on its website, and also produces an annual brochure listing its members. Th is brochure is available in many businesses, post offi ces, township offi ces, information booths and other spots throughout the Frontenac Arch Biosphere Reserve Region. Th ere are many benefi ts to buying directly from local producers. • Providing a reliable market for farmers increases their share of food dollars and helps them to survive in a challenging business, thus preserving agricultural land. • When food doesn’t have to travel far, it requires less packaging materials, preservatives and, often, fewer pesticides. Th us, it avoids processes that pose threats to the environment and human health and decrease the taste and quality of food. • Reducing the need for long-distance shipping reduces the production of damaging greenhouse gases, which cause global warming, acid rain, smog, and air pollution. • It helps to preserve rural agricultural landscape and uses local natural resources without destroying them, since local producers tend to have small, sustainable operations as opposed to large industrial farms. • Local, naturally raised and fed animal products retain a higher proportion of their nutritional value than imported foods. • Th e local economy benefi ts because money spent in the community stays in the community longer, benefi ting local retailers and residents. • It creates opportunities for local farmers to develop new markets, such as organic foods and foods targeted to particular health and ethnic markets. Local consumers could include purchasers who buy for hospitals or school cafeterias. • Local food buying supports family farmers and helps to support rural communities. It also increases the connection between consumers and the production of their food and has signifi cant social benefi ts. Communities come together to support locally produced food and the people who produce it. For more information about Local Flavours, visit www.localfl avours.org or contact info@localfl avours.org – (613) 659-4824. Part IV Recipe for Success: Strategies for Building Food Security 27
  • 32.
    Fair Trade Buyinglocal food is not always possible, as a large portion of the food available in Canada is imported from abroad. However, whether your food came from local soil or was harvested in a faraway land, it is still important to understand the system that brought the food to your plate. When buying imported foods, it is diffi cult to see how our choices impact the people and communities that have grown it. Fair Trade is an international movement concerned with producing and trading goods in a way that supports local economies and human rights in poor countries. Th is includes getting a fair price for their goods, being off ered secure jobs in environments that promote human rights and gaining the support to obtain the necessary knowledge and skills to grow their business.16 Th ese are important factors when ensuring that our food is being produced in a sustainable and socially just way. Purchasing fair trade foods and advocating for world trade policies that benefi t both small-scale producers and multinationals are important ways of exercising our power as consumers.17 First Steps: Visit the website for Oxfam International’s global campaign at www.maketradefair.com to read up on the issues and see how you can support fair trade. Support businesses that are fair trade certifi ed. Twenty countries, including Canada, have national initiatives to certify Fair Trade products. TransFair Canada, a not-for-profi t certifi cation and public education organization, provides a list of fair trade certifi ed businesses on their website at www. transfair.ca/en/licenseelist. Community Gardens A community garden is an inexpensive way for people to work together to grow their own food. Community gardens are usually found in a convenient part of a neighbourhood, where people can easily drop by and participate. Some community gardens have allotments where each family grows its own food. At other community gardens, food is grown collectively, with work shared by the participants. Th is allows people to exchange ideas, share gardening tips and provide varying levels of expertise. Growing our own food is also a great way to help build food security in our communities, promote active living and encourage people to work outdoors. If joining or initiating a community garden project is not an option for you, consider starting a small garden in your own home. Gardens can be grown in backyards, windows, on balconies or on rooftops. You don’t need to grow all your food at home, but giving it a try can be both fun and rewarding. First Steps: Find out if a community garden already exists in your community by contacting your local health unit, rotary and horticultural clubs, city parks and other community planning organizations. Getting involved in existing gardens will save you much time and energy and reduce duplication of eff orts. For gardening tips, Master Gardeners of Ontario Inc. is made up of local volunteers who give guidance to home gardeners. To fi nd a Master Gardener near you, visit the Ontario Horticultural Association at www.gardenontario.org/mas. Community Shared Agriculture Community Shared Agriculture (CSA) is a co-operative method of direct marketing from farm to table. Th e primary thrust behind CSA is that consumers, usually urban, agree to buy a share of local farmers’ produce at a pre-established price. Consumers are provided with a box full of fresh, quality, seasonal produce direct from a local farm every week during the growing season.18 Th e prepaid share provides a guaranteed return for the CSA growers’ labour and resources, regardless of drought, fl oods or other hazardous conditions. Many CSAs off er “work shares” where consumers can work off some or all of the share purchase price. It is also common for CSAs to involve their 28 Healthy Food, Healthy Community A Community Action Guide
  • 33.
    Comments from CommunityGardeners in London: “Th e garden was particularly helpful because we were able to supplement our tiny food budget. If it hadn’t been for the garden I shudder to think what our meals would have been like.” “What probably surprised me the most was how quickly any daily stress could be melted away just by watering the garden, weeding or picking the fresh produce.” “Everywhere I turned help was at hand. With seasoned gardeners on every side, advice was plentiful, and sooner than I could imagine I had a plot full of a wonderful array of produce.” “Last year my tomato crop was so bountiful that I delivered baskets each weekend to the senior shut-ins in the apartment building next to ours.” “What an enjoyable and fulfi lling experience!” Part IV Recipe for Success: Strategies for Building Food Security 29
  • 34.
    London’s Community Gardens Operated by the London Community Resource Centre, the London Community Gardens Project is funded by the City of London and receives many donations and in-kind contributions from organizations, individuals, and other levels of government. In the summer of 2005, 17 gardens were in operation. Community gardens have proven to be very popular in London for a variety of reasons. Not only do they provide increased access to fresh, nutritious, low-cost food, but they also provide opportunities for increased skill development, community building, recreation, physical activity, fresh air, social interaction and cross-cultural participation. Participating gardeners come from diverse backgrounds and range in age from 21 to 92. Sixty-seven percent of the gardeners have household incomes of less than $24,000. Forty percent have languages other than English as their fi rst language. Many live in apartments without access to a garden, and participate to better their health through both nutrition and exercise, and other simply enjoy gardening. Some gardeners are new Canadians who want to grow food that they are accustomed to from their countries of origin. Several agencies participate in the Community Gardens Project by organizing plots for their clients, members or constituents to use, in some cases as a form of therapy in addition to the other benefi ts of gardening. Th e land for the gardens is provided by the City of London, churches and local businesses. In 2005 there were 432 plots and 230 registered gardeners. It was calculated that approximately 1,800 people benefi ted from food produced in the gardens. Th is number does not include those who benefi ted through produce donated to the London and Area Food Bank and other service agencies. Th e plot rental fee is based on a sliding scale from $15 to $40 per year, geared to income. Fifty-one percent of gardeners pay the lowest rate. Th ese fees cover only the supplies required by the gardens, e.g., water, hoses, soil tests, tools, etc. Th e gardeners also contribute many hours of volunteer labour to assist with preparation and maintenance of the garden sites. All the gardens are grown organically, i.e, no chemical pesticides or herbicides are used. Compost, mulching, crop rotation and companion planting are employed to obtain maximum yield. One of the newer initiatives of the project has been to create raised garden beds at one of the garden sites to make them accessible to people with physical disabilities. Another initiative is the “Dig It” project, in which 20 youth will be hired to learn about composting, build composters, teach the community gardeners about it and facilitate composting at each of the gardens. For more information about the London Community Gardens Project, contact: Mary Yanful, Community Gardens Coordinator London Community Resource Centre 652 Elizabeth St., London, Ontario N5Y 6L3 Tel: (519) 432-1801 Email: mary@lcrc.on.ca Website: www.lcrc.on.ca 30 Healthy Food, Healthy Community A Community Action Guide
  • 35.
    consumers with on-farmactivities and special events, or to help distribute food shares to fellow members at drop-off sites. CSA benefi ts consumers, farmers and the natural environment they both live in. By sharing in the success and failure of crops in any given year, the gap between consumers and growers is lessened, allowing for stronger relationships between rural and urban people. For the consumer, CSA off ers a greater diversity of fresh, high-quality produce. For growers, CSA allows them the satisfaction of serving their local community while maintaining smaller eco-friendly farms, which are still profi table.19 CSA also benefi ts the environment, as the majority of CSA growers practice ecologically friendly methods of food production with little or no use of chemicals. CSA consumers are tolerant of nutritious produce that may not be picture perfect, resulting in much less waste. Combining this reduction of waste produce with less packaging and less transportation costs creates a food system that is better for the environment, and also has a positive eff ect on the local economy. First Steps: Join a CSA and encourage your friends and family to follow! To fi nd out what CSA projects are operating in your region, try contacting your local community food security organization (check FoodNet at www.opha.on.ca/foodnet/initiatives. html for listings), your local Green Communities member (see http://www.gca.ca/indexcms/index. php?organizations#ON), or check out the various Ontario chapters of Canadian Organic Growers (see the national website at www.cog.ca). Community Kitchens “Eliminating hunger is really the cornerstone of a better world where we could live with each other in peace and harmony. Collective Kitchens contribute to that kind of world.” Diane Norman, Dietitian A community kitchen consists of a group of people who meet regularly to plan and cook nutritious meals together, exchange recipes and develop new food preparation skills. By sharing a collective kitchen space, participants can expand their skills while socializing, building friendships and off ering mutual support to other people who face the challenges of food insecurity. Community kitchens often involve buying foods collectively and in large quantities or bulk, therefore lowering food costs for members. In addition, community kitchens are often very convenient for participants. Cooking in larger quantities takes less time, and the food can be easily portioned and frozen for later use. It is up to the group to decide how they want the kitchen to function, therefore providing a level of fl exibility that helps to ensure that the diverse needs of the group are met. Some groups meet once a week, while others meet once a month. Some kitchens may sit down together and share their meals after each meeting, while others may cook a number of diff erent meals to last until the next meeting. When individuals of similar circumstance meet, community kitchens may take a particular focus. For example, they can be geared towards seniors, diff erent minority groups, single mothers and fathers, vegetarians, students and other specifi c groups. First Step: Community kitchen programs are operating in many parts of the province. To learn more, contact the food security work groups and councils listed in our “Th rough the Grapevine” section. To fi nd out if there is a community kitchen program in your area, Part IV Recipe for Success: Strategies for Building Food Security 31
  • 36.
    contact your localhealth unit or check the FoodNet website at www.opha.on.ca/foodnet/initiatives/ program.html. London’s Collective Kitchen Network In response to the growing demand on food programs in London, in 1991 the London Community Resource Centre invited Dianne Norman, a public health dietitian in Montreal, to provide training on the development of a Collective Kitchen program in London. Four kitchens were opened initially, one with recent Spanish immigrants, two in therapeutic environments for ex-psychiatric patients and a fourth for anyone from the community. Th ere are now 37 kitchens operating in London and surrounding townships, sponsored by various organizations and institutions. Th e London Community Resource supports the London Collective Kitchen network by providing short term subsidies, training, nutritional information and referrals. Service providers will be engaged as supporters for these high needs groups. Th e success of this project is due to the contributions of many volunteers, partners and funders. Gleaning Projects Gleaning refers to the collection of crops from farmers’ fi elds that remain after harvesting is complete. Th ese are crops that would otherwise be left to rot or be ploughed under, as harvesting them is not economically profi table for the grower or they are not suitable to sell on the retail market. Gleaning is practiced as a means for low-income and hungry families to access fresh food at no cost. Projects also aim to bridge the gap between growers and consumers and encourage strong partnerships between participants and the local farming community. Gleaning provides participating families with an opportunity to promote locally grown produce, be socially and physically active and to learn more about nutrition, food preparation and food safety.20 First Steps: Read about gleaning projects that are already happening around the province, share your knowledge with others and see how you can get involved. Some gleaning programs you may want to consult include: • Fresh Food Partners by York Region Food Network: http://www.yrfn. ca/gleaning.htm • Food Action Network gleaning program by Th under Bay District Health unit: http://www.tbdhu.com/ food/security/Gardening.htm North Lanark Responds to Community Needs Th e North Lanark County Community Health Centre conducted a broad-based community health needs assessment which identifi ed diffi culties for many individuals and their families in accessing aff ordable, fresh fruits and vegetables. Because Lanark County also has a rich agricultural heritage, local individuals and organizations started working together to identify ways in which the provision of locally grown produce can be made more accessible to low income families in north Lanark. An anonymous donation from an individual with matching top-up funds from the Lawson Foundation, combined with special project funding from the United Way of Lanark County, have provided seed money for this initiative to take root. Projects being developed or explored include: supporting a community kitchen using local grown produce, creating a kitchen garden at a local youth centre and providing locally grown produce for hot lunch programs at the local primary school. Th e partners in this initiative include the North Lanark County Community Health Centre; ecoPerth and the Ontario Healthy Communities Coalition. 32 Healthy Food, Healthy Community A Community Action Guide
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    School-Based Nutrition Projects Recently, there have been many discussions on the role of Ontario schools in ensuring that students obtain proper nutrition to succeed in their learning environment. Many children are arriving at school hungry, possibly due to long bus rides or a hectic family schedule that leaves little time to eat breakfast in the morning. Recognizing the importance of proper nourishment to a student’s learning and behaviour, many schools are adopting nutrition programs in response to this issue. Th ese programs often work hand in hand with school food policies that help to guide healthy choices by students and staff . School-based nutrition projects are not designed to remove or replace the parental responsibility of nourishing children, but rather enhance student access to nutritious meals and snacks throughout the day. Some programs may also provide students with opportunities to grow and cook their own food on site. Th ese programs address the health and diet needs of all children, not only those considered to be poor or in need. School-based nutrition programs tend to move away from a charitable model. Although they often involve some level of payment or donation from participants, they may also involve funding to ensure that all kids can participate, regardless of their ability to pay. Other characteristics of successful programs include being off ered regularly, involving parents, encouraging sharing, involving nutrition education and giving children healthy and safe food for energy to play, learn and grow.21 First Steps: If there is not already a school-based nutrition program happening at your child’s school, perhaps it is time to initiate one. See our “Th rough the Grapevine” section for a listing of several healthy schools resources. For general information, visit www.safehealthyschools.org. To read about healthy school success stories, including initiatives to enhance student nutrition, visit the website of the Ontario Healthy Schools Coalition at www.opha. on.ca/resources/csh-success.pdf. Food-Buying Clubs A food-buying club is one where a group of people get together to provide food for themselves and their families. Th ey range in size from fi ve to 50 families or individuals, and usually order every month or every second month from a wholesaler or retail distributor. A food-buying club collects orders from individual families, combines them and purchases the total quantity at wholesale prices. Th e distributor delivers the order to a house or drop-off point in the community where the order is then divided and distributed to members. Another type of buying club is the “good food box” concept. A “good food box” is a food delivery system in which fresh produce or non-perishable food is purchased in bulk, and the food is then delivered to neighbourhoods by volunteers or consumers. Th e concept of food-buying clubs is spreading and can be easily adopted by many communities, as they are fairly simple to organize and establish when kept at a small scale. Since there is little overhead in running a food-buying club, there is no need to mark up prices or pay membership dues, which keeps prices low. First Steps: Th e Ontario Natural Food Co-op is very supportive of food-buying clubs. Th e Co-op can provide all the necessary information on joining or starting a Part IV Recipe for Success: Strategies for Building Food Security 33
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    Durham’s Child NutritionProject Sponsored by the Community Development Council Durham (CDCD), the Durham Child Nutrition Project (DCNP) utilizes an inclusive approach to ensure that every child in Durham Region attends school well nourished and ready to learn. As of December 31, 2005, the DCNP provided over one million healthy breakfasts to 10,932 children in 77 nutrition programs in the Region of Durham. Th is nutrition program recognizes the fact that there is a strong link between nutrition and the ability to learn. Th is nutrition program has increased the volunteer base immensely. Th e increased focus on nutritional awareness, combined with the statistics on child poverty, have motivated family members to approach their neighbourhood schools to volunteer in this program. Th e school teachers and principals also benefi t from the dedicated volunteers in this program, as they now have a wealth of diverse cultures in the volunteer pool and collaborative planning is now occurring in areas such as meal planning, cultural awareness, cultural food items and language use. Th e immigrant volunteers can communicate with other parents in the school nutrition program who may not use English as their fi rst language, and everyone benefi ts. Th e project has wide reaching benefi ts. Children are better prepared to learn once they are fed, they are exposed to healthy eating habits at an early age and they develop a sense of belonging. Th e program has the potential for capacity building within each community and children are provided an opportunity to try new cultural foods. Schools benefi t from an increase in student attendance and punctuality, the potential for higher concentration/better academic output when children are well nourished and a marked decrease in behavioural issues in the classroom. Parents are aware that children receive a nourishing breakfast/snack daily, which means their children are better prepared to learn and excel. Families on a fi xed or limited budget express gratitude that their children receive a nourishing meal prior to commencing their school day. Parents who must leave the home to commute to their place of work before their children leave for school express satisfaction with a program that ensures that each child will commence their learning day well fed and eager to learn. Th e most signifi cant result of this program is that children have increased mathematics and reading ability, children display better behaviour in class, there is a reduction in absenteeism, and the children and their parents are developing healthy eating habits. Th is program will have a signifi cant long-term impact on the children’s future and the further development of Durham Region and the municipalities that comprise it. Th is program can be adapted to fi t in any city, town or community. For more information, contact: Aisha Malik DCNP Coordinator Community Development Council Durham Tel: (905) 686-2661 34 Healthy Food, Healthy Community A Community Action Guide
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    FoodShare’s Field toTable Schools Program On May 5, 2005, more than 140 local parents, students, educators, farmers, Toronto Public Health staff members and “foodies” gathered for an exciting one-day participatory workshop at FoodShare’s Field to Table Centre on Eastern Avenue. Th e keynote speaker was Marion Kalb, Program Director, National Farm to School Program in the United States. Marion has helped to build the Farm to School movement so that it is now operational in 22 states. Workshop participants heard from local key stakeholders on the benefi ts of adopting a farm to school program, which would enhance children’s ability to eat local, healthy food during their school day. Th at workshop was the impetus for the establishment of both the Ontario Farm to School Network and FoodShare’s Field to Table Schools program. Th e goal of the Field to Table Schools initiative is to develop sustainable school programs that enhance children’s health while improving the environment through school gardens, composting, salad bar lunches and links to farmers. Schools will be environmentally friendly ecological centres that will foster an integrated and holistic approach to food. Students will learn about cooking and how food quality relates to soil fertility, pest management, seasonal changes, processing for market and transportation. Th e ideal Field to Table School will be one where the focus is on food literacy and agricultural awareness. For example, in the ideal Field to Table School: • all meals and snacks include fresh fruits and vegetables • pop machines feature water and milk • there is a vegetable garden tended by student/teacher/parent teams • students learn about, and participate in, simple food preparation • recycling organic waste, paper and plastic is convenient • composting is part of the curriculum • classrooms have grow lights and seedling trays for herbs and greens • resource books are up-to-date • farm trips and farmer visits are frequent • fund raising does not depend on chocolate bars • special events do not serve junk food. Th e Field to Table School seems to be an idea whose time has come, a practical way for parents, educators, kids and the school community to learn about healthy eating in a positive and exciting way. During the 2005–2006 school year, FoodShare staff were supported by a donation from the Laidlaw Foundation, which was used to initiate activities in three Toronto pilot schools. Th e results have been positive and expansion plans are underway. For more information see www.foodshare.net/school02.htm or contact: fttschools@foodshare.net. Tel: (416) 393-6351 Part IV Recipe for Success: Strategies for Building Food Security 35
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    buying club. Tohear about these services and more, visit their website at www.onfc.ca or call (416) 503- 1144. To fi nd a good food box program in your area, check the listing of members of the Ontario Good Food Box Network on Foodshare’s website at www. foodshare.ca/train08.htm. If you are thinking of starting a similar program, you should get in touch with one of these groups to learn from their experience. FoodShare has produced a Good Food Box Guide to help groups set up their own program. It also contains case studies of some good food box programs. You may view or download it from www. foodshare.net/publications_04.htm. Food Co-operatives A co-operative is a business and incorporated body that has a board of directors. It is a democratic entity that is bound by the Co-operative Corporations Act. A food co-operative is a group of people who come together to provide food for themselves and their families. Co-operatives off er greater control over food quality, price and source, and range in size from small groups (fi ve to 10 members) operating much the same as a food-buying club to large groups (100 to 500 members). Many have a retail outlet that serves members and non-members of the co-operative. To become a member of a co-operative, you may need to make a commitment to perform tasks to help the co-op function. As well, many co-operatives require a fi nancial commitment in the form of a refundable membership loan. Th ere are many exciting ways to grow and diversify food co-operatives. Some have become very successful and branched into owning restaurants, coff ee shops and meeting places, while others have expanded into areas such as community gardening to supply fresh produce. First Steps: For all there is to know about co-op development and governance, contact: Th e Ontario Co-operative Association www.ontario.coop (519) 763-8271 Th e Canadian Co-operative Association www.coopscanada.coop (613) 238-6711 Good Food Box Regional Network A Good Food Box Regional Network has been formed in eastern Ontario to help support the work of community-based Good Food Box programs. This network meets quarterly to: share information, tools and resources; identify cost-sharing opportunities; support new or struggling good food box programs; and provide ideas and innovation for existing and established programs. The network currently consists of representatives from the Community Health Centres in Portland, Kingston, Merrickville, North Lanark, the LLG District Health Unit and a member of the John Howard Society. For more information contact Kara Symbolic at: karas@healthycommunities.on.ca Tel: (613) 267-8426 Peer Education Programs Many Ontarians have a wide range of food-related skills and knowledge that they have gained through cultural, religious, occupational, educational and family experiences.22 Peer education programs tap into this valuable community resource to build capacity of other people throughout the province. Th e programs establish a network of trained individuals, often referred to as “advisors” or “animators,” who engage their local communities in an eff ort to build food security and adopt safe and 36 Healthy Food, Healthy Community A Community Action Guide
  • 41.
    healthy food practices.Community representatives, who are often volunteers, provide guidance and support to their communities in diff erent ways. Some programs work alongside other community organizations to develop food projects in their local area, such as community gardens, kitchens or farmers’ markets. Other programs may focus more on education, by working with communities to improve and promote safe and healthy food selection, preparation and storage practices of consumers.23 Th e local focus of peer education programs is an important contributor to their success. Since the community leaders are also community members, they have a better feel for local needs and greater potential for mobilizing fellow members in an eff ort to build community capacity. Why Wait? Peer education programs are active in many areas of the province. For example, the Community Food Advisor program operates in 18 areas of Ontario. Community Food Advisors are trained volunteers, certifi ed annually, who provide reliable information and education that promotes safe and nutritious food selection, preparation and storage practices to consumers in Ontario. For more information, contact the Nutrition Resource Centre at 1 (800) 267-6817 or visit www.nutritionrc.ca/programs/cfa-program. html. FoodShare (www.foodshare.net) has a Community Food Animation program, in which has paid staff and volunteers work with local partners to animate communities to start food projects in their neighbourhoods, co-ordinate a network of farmers’ markets, develop food policy recommendations and assist with project design, evaluation and policy development. Th e Region of Waterloo also operates a large peer nutrition and health worker program, which as undergone rigorous evaluation. You can fi nd information about the impacts of such programs at: www.region.waterloo. on.ca/ph - follow the links for resources/health status and research studies/peer programs. Part IV Recipe for Success: Strategies for Building Food Security 37
  • 42.
    38 Healthy Food,Healthy Community A Community Action Guide
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    39 THROUGH THEGRAPEVINE: Learn More About Community Food Security Publications Food Security: More Th an a Determinant of Health. (2003). McIntyre, L. Available on-line at: www.irpp.org/po/archive/ mar03/mcintyre.pdf For Hunger-Proof Cities: Sustainable Urban Food Systems. (1999). Koc M, MacRae R, Mougeot L, Welsh J (Editors). Ottawa: International Development Research Centre Check your local library or bookstore A Systemic Approach to Community Food Security: A Role for Public Health. (2002). Food Security Work Group, Ontario Public Health Association (OPHA). Available online at: http://www.opha.on.ca/ ppres/2002-01_pp.pdf Discussion Paper on Household and Individual Food Insecurity. (2001). Tarasuk, V. Available online at: http://www.hc-sc.gc.ca/fn-an/nutrition/pol/food_ sec_entire-sec_aliments_entier_e.html Towards A Healthy Community Food System for Waterloo Region (2005). Xuereb, M and Desjardins E. Available on line at: http://chd.region.waterloo. on.ca – follow the links for resources/health status and research studies/food issues. Websites Ryerson University Centre for Studies in Food Security www.ryerson.ca/~foodsec/ Food for the Cities: Food and Agriculture Organization, United Nations www.fao.org/fcit/insec.asp V The Fundamentals: Understanding, Defi ning and Approaching CFS
  • 44.
    Food Security Bureau,Agriculture and Agri-Food Canada www.agr.gc.ca/misb/fsb/fsb-bsa_e.php Community Food Security Coalition www.foodsecurity.org CFS and the Social Determinants of Health Publications Th e Social Determinants of Health: An Overview of the Implications for Policy and the Role of the Health Sector. (2002). Edwards, P. Available online at: http://www.phac-aspc.gc.ca/ph-sp/phdd/overview_ implications/01_overview.html Social Determinants of Health – Th e Solid Facts, 2nd edition. (2003). Wilkinson, R and Marmot, M. (Editors). World Health Organization. Available online at: http://www.euro.who.int/ document/e81384.pdf Strengthening the Social Determinants of Health: Th e Toronto Charter for a Healthy Canada. (2002). Available online at: www.socialjustice.org Chronic Disease, Obesity and Health Promotion Publications Th e Case for Prevention: Moving upstream to Improve Health for all Ontarians. (2006). Ontario Prevention Clearinghouse. Available online at: http://www.opc.on.ca/english/about_us/pdfs/ caseforprevention.pdf Report on the Health Status of the Residents of Ontario. (2000). Public Health Research, Education and Development Program Available online at: http://www.opha.on.ca/resources/healthstatus/ english/healthstatus2000.pdf Oxfam Canada www.oxfam.ca Additional Websites Th e Ram’s Horn http://www.ramshorn.ca Registered Nurses Association of Ontario (RNAO) Knowledge Depot http://www.rnaoknowledgedepot.ca/promoting_ health/index.asp Centre for Social Justice http://www.socialjustice.org/csjabout.php Chronic Disease in Ontario and Canada: Determinants, Risk Factors and Prevention Priorities. (2006). E. Haydon et. al. Ontario Chronic Disease Prevention Alliance the Ontario Public Health Association. Available online at: http://www.cdpac.ca/content/ pdf/CDPsummary%20report.pdf Preventing Chronic Diseases: A Vital Investment. (2005). World Health Organization and Th e Public Health Agency of Canada Available online at: http://www.who.int/chp/ chronic_disease_report/en 40 Healthy Food, Healthy Community A Community Action Guide
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    If the HealthCare System Believed You Are What You Eat: Strategies to Integrate our Food and Health Systems. (1997). Toronto Food Policy Council Available online at: http://www.toronto.ca/health/ tfpc_discussion_paper.htm Healthy Weights, Healthy Lives: 2004 Chief Medical Offi cer of Health Report. Dr. Sheila Basrur. Available online at: http://www.health. gov.on.ca/english/public/pub/ministry_reports/ cmoh04_report/cmoh_04.html Additional Websites World Health Organization: Department of Chronic Diseases and Health Promotion http://www.who.int/chp/about/integrated_cd/en/ World Health Organization: Global Strategy on Diet, Physical Activity and Health http://www.who.int/dietphysicalactivity/ publications/facts/riskfactors/en/index.html Centre for Chronic Disease Prevention and Control: Public Health Agency of Canada http://www.phac-aspc.gc.ca/ccdpc-cpcmc/topics/ chronic-disease_e.html Poverty, Inclusion and Social Development Publications Population Health: Social Inclusion as a Determinant of Health. (2002). Galabuzi, GE and Labonte, R. Public Health Agency of Canada Available online at: http://www.phac-aspc.gc.ca/ph-sp/phdd/overview_ implications/03_inclusion.html Reducing Urban Hunger in Ontario: policy responses to support the transition from food charity to local food security. (1995). Toronto Food Policy Council. Available online at: http://www.toronto.ca/health/ tfpc_discussion_paper.htm Urban Poverty in Canada: A Statistical Profi le. (2000). Lee, Kevin K. Canadian Council on Social Development Available online at: www.ccsd.ca/pubs/2000/up Report Card on Child Poverty in Ontario. (2003). Ontario Campaign 2000, Toronto Available online at: http://www.campaign2000. ca/rc/ONrc03/ONrcO3eng.pdf Poverty Fact Sheet. (2000). Peterborough Social Planning Council Available online at: http://www.pspc.on.ca/pdf/ Poverty%20Fact%20Sheet.PDF Additional Websites Th e Canadian Council on Social Development www.ccsd.ca Make Poverty History Campaign, Oxfam International www.makepovertyhistory.ca United Way Canada www.unitedway.ca Community Foundations of Canada http://www.cfc-fcc.ca/services/index.cfm Inclusive Cities Canada http://www.inclusivecities.ca/about/index.html Child and Youth Health Network for Eastern Ontario http://www.child-youth-health.net/home.htm Part V Through the Grapevine: Learn More About Community Food Security 41
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    (follow the “publications”tab to get to the fi ve Poverty Report Books for various parts of Eastern Ontario) School-based Nutrition Programs and Policies Publications Making Ontario Schools Healthier Places to Learn. (2004). Education Minister Gerard Kennedy. Ministry of Education, Government of Ontario. Available online at: http://www.edu.gov.on.ca/eng/document/reports/ healthyschools/report.pdf Eff ectiveness of School Programs in Preventing Childhood Obesity: A Multilevel Comparison. (2005). P..J. Veugelers, PhD and A..L. Fitzgerald, MSc. American Journal of Public Health: March 2005, Vol. 95, No.3 200595:432 435. Healthy School Food Policies: A Checklist. (2002). M. Vallianatos M. Center for Food and Justice, Urban and Environmental Policy Institute. Available online at: www.departments.oxy.edu/uepi/cfj /publications/ healthy_school_food_policies_05.pdf Achieving the Vision of Healthy Schools across Ontario: Priority Areas for Action. (2005). Ontario Health Schools Coalition. Available online at: http://www.opha.on.ca/resources/OHSC-Report- 8Jun05.pdf Community Food Security and Urban Planning Publications Th e Way to a City’s Heart is through its Stomach: Putting Food Security on the Urban Planning Menu. (2001). Roberts, W. Toronto Food Policy Council. Available online at: http://www.toronto.ca/health/ tfpc_discussion_paper.htm BC Food Systems Network Society http://www.fooddemocracy.org Food for Th ought: Schools and Nutrition. (1997). Health Canada. Available online at: http://www. hc-sc.gc.ca/fn-an/alt_formats/hpfb-dgpsa/pdf/ nutrition/food_thought_schools-refl ection_ aliments_ecole_e.pdf Additional Websites Breakfast for Learning: Canadian Living Foundation www.breakfastforlearning.ca Communities and Schools Promoting Health www.safehealthyschools.org Ontario Healthy Schools Coalition, Ontario Public Health Association http://www.opha.on.ca/ohsc/ Living School: Building Healthier Communities Ontario Physical and Health Education Association (OPHEA) http://www.livingschool.ca/ Food in Schools Toolkit: British Nutrition Foundation. http://foodinschools.datacenta.uk.net/ Food Retail Structure and Food Security. (1996). Toronto Food Policy Council. Available online at: http://www.toronto.ca/health/tfpc_discussion_ paper.htm Additional Websites: Centre for Research on Inner City Health: St. Michael’s Hospital http://www.crich.ca/ 42 Healthy Food, Healthy Community A Community Action Guide
  • 47.
    Food Production andthe Future of Farming Publications Farming and You: Re-examining the Relationship between Farmers and Consumers. (2001). Shamley, F. and Jacobs, A. Ontario Healthy Communities Coalition Update: Spring/Summer 2001. Available online at: www.healthycommunities.on.ca/ publications/newsletter/S_S01EN.PDF Policy on Sustainable Agriculture. National Farmers Union. www.nfu.ca/sustag.htm Setting a New Direction: Changing the Agricultural Policy Making Process. (1995). Toronto Food Policy Council. Available online at: http://www.toronto. ca/health/tfpc_discussion_paper.htm Additional Websites: Sustainable Agriculture Production and Consumption Forum. United Nations Environment Programme (UNEP) www.agrifood-forum.net Inter Pares http://www.interpares.ca/en/what/food.php Food Security Bureau, Agriculture and Agri-Food Canada http://www.agr.gc.ca/misb/fsb/fsb-bsa_ e.php?page=index Farming Solutions: Success Stories for the Future of Farming www.farmingsolutions.org International Institute for Sustainable Development (IISD) www.iisd.org/ Beyond Factory Farming Coalition www.beyondfactoryfarming.org World Health Organization Th e Department of Food Safety, Zoonoses and Foodborne Diseases www.who.int/foodsafety Food Safety Network: University of Guelph http://www.foodsafetynetwork.ca/en/index.php In Focus: Growing Better Cities – Urban Agriculture for Sustainable Development. International Development Research Centre www.idrc.ca/en/ev-92997-201-1-DO_TOPIC.html Canadian Organic Growers www.cog.ca Importing and Transporting Food Publications Fighting Global Warming at the Farmer’s Market: Th e Role of the Local Food Systems in Reducing Greenhouse Gas Emission, Second Edition. (2005). Bentley, S. and Barker, R. FoodShare Toronto. Available online at: http://www.foodshare.net/ resource/fi les/ACF230.pdf Food Miles: Environmental Implications of Food Imports to Waterloo Region. (2005) Xuereb M. Region of Waterloo Public Health. Available online at: www.chd.region.waterloo.on.ca Eating Oil: Food Supply in a Changing Climate. (2001). Jones, A. Elm Farm Research Centre, U.K. Available online at: www.sustainweb.org/chain_ fm_eat.asp Additional Websites Sierra Club of Canada www.sierraclub.ca Lifecycles Project Society: Food Miles Initiative www.lifecyclesproject.ca/initiatives/food_miles/ Part V Through the Grapevine: Learn More About Community Food Security 43
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    Green Ontario: ConserverSolutions for a Healthy Ontario. Th e Conservation Council of Ontario. www.greenontario.org International Institute for Sustainable Development (IISD) Linkages: A Multimedia Resource for Environment and Development Policy Makers www.iisd.ca Sustainable Table: Serving Up Healthy Food Choices www.sustainabletable.org Th e FoodShed Project – Th inking Ecologically! A Sustainable Eating Initiative www.foodshedproject.ca/food_security.htm Oxfam International: Make Trade Fair Campaign www.maketradefair.com International Federation for Alternative Trade www.ifat.org Healthy Policy: Development and Advocacy Publications Th ought About Food? A Workbook on Food Security and Infl uencing Policy. (2005). Food Security Projects of the Nova Scotia Nutrition Council and the Atlantic Health Promotion Research Centre, Dalhousie University Available online at: www.foodthoughtful.ca Developing Health Promotion Policies, Version 1.0 (2004). Th e Health Communication Unit, Centre for Health Promotion, University of Toronto. Available online at www.thcu.ca/infoandresources. htm Community Advocacy Toolkit (2003). Breakfast for Learning, Canadian Living Foundation Available online at: www.breakfastforlearning.ca Taking Action through Public Policy: A Focus on Health and Environment Issues. (2002). Community Animation Program, Environment Canada Health Canada. Available online at: www.atl.ec.gc.ca/community/cap_taking_action_ through_public_policy/index_e.html School Community Cooperation for Healthy Eating – School Food Policies. Community and Schools Promoting Health. Th is site provides links to several web-based documents that describe eff ective policies and policy-making for school food policies. Th e issue of fundraising is covered specifi cally because it is often cited as the key barrier. www.safehealthyschools.org/healthyeating/ school_food_policies.htm Additional Websites: VOICE in Health Policy www.projectvoice.ca Toronto Food Policy Council http://www.toronto.ca/health/tfpc_index.htm FoodShare http://www.foodshare.net/foodpolicy03.htm Health Canada: Offi ce of Nutrition Policy and Promotion www.hc-sc.gc.ca/ahc-asc/branch-dirgen/hpfb-dgpsa/ onpp-bppn/index_e.html Institute on Governance: Building Policy Capacity http://www.iog.ca/knowledge_areas. asp?pageID=4area=3 Canadian Public Health Association: Policy and Advocacy http://www.cpha.ca/english/policy/policy.htm 44 Healthy Food, Healthy Community A Community Action Guide
  • 49.
    Taking Action: FoodSecurity Workgroups and Councils FoodShare: Field to Table www.foodshare.net Toronto Food and Hunger Action Committee http://www.toronto.ca/food_hunger/ Food Security Workgroup Ontario Public Health Association www.opha.on.ca/foodnet/ Ottawa Food Security Council www.spcottawa.on.ca/ofsc/ Toronto Food Policy Council www.city.toronto.on.ca/health/tfpc_index.htm Food Link Waterloo Region www.foodlink-waterlooregion.ca/ Th under Bay Food Action Network and District Health Unit www.tbdhu.com/food/security/default.htm Sudbury-Manitoulin Food Security Network http://communities.mysudbury.ca/Sites/ foodsecurity/default.aspx Th e Foodshed Project http://www.foodshedproject.ca/ Food Security Resource Centres Ryerson University Centre for Studies in Food Security www.ryerson.ca/~foodsec/ Nutrition Resource Centre http://www.nutritionrc.ca Ontario Public Health Association http://www.opha.on.ca/resources/issues.html FoodShare Learning Centre http://www.foodshare.net/lrcMAIN.htm Food and Agricultural Association (FAO) of the United Nations: Publications and Documents http://www.fao.org/publishing/ Part V Through the Grapevine: Learn More About Community Food Security 45
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    46 Healthy Food,Healthy Community A Community Action Guide
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    GLOSSARY OF KEYTERMS VI 47 Access is defi ned as having the right, opportunity or ability to reach, enter or use a facility, program, service or materials; visit a person or people; and/or receive, understand and use information, knowledge or skills. (adapted from Th e City of Toronto Task Force on Community Access Equity: Glossary of Access and Equity Terms 1998–1999) Advocacy is the act of supporting or arguing in favour of a cause, policy or idea. It is undertaken to infl uence public opinion and societal attitudes or to bring about changes in government, community or institutional policies. (adapted from the Kidney Foundation of Canada Advocacy Handbook) Biodiversity refers to the variability among living organisms, including diversity within species, between species and of ecosystems. (Environment Canada, International Relations Glossary) Biotechnology is any technique that uses biological systems, living organisms or parts of organisms to develop or modify products for specifi c uses. (adapted from the World Foundation for Environment and Development) Chronic diseases are typically characterized as prolonged conditions that have an uncertain cause or origin, multiple risk factors, a non-infectious origin and are often preventable. Examples include cardiovascular diseases (heart disease and stroke), cancer, diabetes, arthritis, asthma and mental illness. (adapted from the Centre for Chronic Disease Prevention and Control) Community usually refers a geographic location – a place where a group of individuals reside and are subject to the same laws. Community can also refer to a group of individuals with common characteristics, beliefs, values or interests (e.g., a faith-based community). As well, communities can be composed of individuals sharing a range of common needs or experiences (e.g., the need for physical accommodation, the experience of racism). What is crucial to any “community,” however, is the sense of belonging or attachment that individuals have with one another and/or their environment. (adapted from Th e City of Toronto Task Force on Community Access Equity: Glossary of Access and Equity Terms 1998–1999)
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    Community development isa process designed to create conditions of economic and social progress for the whole community with its active participation and fullest possible reliance upon the community’s initiative. (United Nations: 1948) Community food security is a situation in which all community residents obtain a safe, culturally acceptable, nutritionally adequate diet through a sustainable food system that maximizes self-reliance and social justice. (Hamm and Bellows, 2003). Food security also includes being able to make a living by growing and producing food in ways that protect and support both the land, sea and the food producers, and that ensure that there will be healthy food for our children’s children. (Food Security Projects of the Nova Scotia Nutrition Council and the Atlantic Health Promotion Research Centre, Dalhousie University) Culture refers to the way groups of people have learned or have had to live together by sharing certain historical experiences, including ideas, beliefs, values, knowledge and historical, geographical, linguistic, racial, religious, ethnic or social traditions. Culture is a complex and dynamic organization of meaning, knowledge, artifacts and symbols that guide human behaviour, account for shared patterns of thought and action and contribute to human, social and physical survival. Culture is transmitted, reinforced and passed on from generation to generation and is constantly changing. (adapted from Th e City of Toronto Task Force on Community Access Equity: Glossary of Access and Equity Terms 1998–1999) Determinants of health are the range of personal, social, economic and environmental factors that determine the health status of individuals or populations. (World Health Organization Health Promotion Glossary, 1999). Specifi cally, the social determinants of health arise from historical, social, cultural, economic and political circumstances that produce inequalities of health in populations. (Dietitians of Canada) Ecosystem is an integrated and stable association of living resources (plant, animals and micro-organisms) and non-living resources functioning within a defi ned physical location. (Environment Canada, International Relations Glossary) Fair trade is a trading partnership based on dialogue, transparency and respect that seeks greater equity in international trade. It contributes to sustainable development by off ering better trading conditions to, and securing the rights of, marginalized producers and workers – particularly in Th ird World countries. (International Federation for Alternative Trade) Food bank is a broad term for an organization or entity that acquires, stores and distributes food to the needy in their community. Food banks are typically supported by community food drives and umbrella organizations, as well as grocery stores, local agriculture, food manufacturers and other distributors. Th ere are approximately 200 food banks in Ontario today. Although a typical food bank is somewhat diff erent from an emergency food program, it may also off er those services, alongside others such as clothing and counselling. (Ontario Association of Food Banks) Food Security – see Community Food Security Food insecurity is the opposite of food security. Food insecurity refers to limited or uncertain access to nutritious, safe foods necessary to lead a healthy lifestyle; households that experience food insecurity have reduced quality or variety of meals and may have irregular food intake. (United States Department of Agriculture, Life Research Offi ce) Food safety refers to the concept of food being free from all hazards, whether chronic or acute, that make food injurious to the health of the consumer. (World Health Organization) Food-borne illnesses are defi ned as diseases, usually either infectious or toxic in nature, caused by agents that enter the body through the ingestion of food. (World Health Organization) 48 Healthy Food, Healthy Community A Community Action Guide
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    Fossil fuels arefuels containing carbon – coal, oil and gas – that were formed over millions of years through the decay, burial and compaction of rotting vegetation on land and of marine organisms on the sea fl oor. Burning fossil fuels is the major way in which humans add to the greenhouse gases in the atmosphere, causing air pollution and contributing to climate change. (Climate Change North, Yukon Conservation Society) Genetic pollution refers to the uncontrolled spread of genetic information into the genomes of organisms in which such genes are not present in nature. (Food and Agriculture Association of the United Nations) Greenhouse gases are gases in the atmosphere that trap the sun’s energy and thereby contribute to rising surface temperatures. Th e main greenhouse gas that contributes to climate change is carbon dioxide (CO2), a by-product of burning fossil fuels. Other greenhouse gases include methane (from agricultural sources) and nitrous oxide (from industrial sources). (Environment Canada, International Relations Glossary) Health is a state of complete physical, social and mental well-being, and not merely the absence of disease or infi rmity. Health is a resource for everyday life, not the object of living. It is a positive concept emphasizing social and personal resources as well as physical capabilities. (World Health Organization) Health disparities/inequalities are population-specifi c diff erences in the presence of disease, health outcomes or access to healthcare. Health disparities that result from diff erences in socioeconomic status follow a gradient that is commonly known as the social gradient. (adapted from the Health Resources and Services Administration, United States Department of Health and Human Services) Health promotion is the process of enabling people to increase control over their health and to improve their health. Th is can be achieved through advocacy to create the essential conditions for health indicated above; enabling all people to achieve their full health potential; and mediating between the diff erent interests in society in the pursuit of health. (adapted from Ottawa Charter for Health Promotion. WHO Geneva, 1986) Healthy public policy is characterized by an explicit concern for health and equity in all areas of policy, and by an accountability for how policy impacts health. Th e main aim of healthy public policy is to create a supportive environment to enable people to lead healthy lives and make healthy choices easier for citizens. (adapted from World Health Organization Health Promotion Glossary, 1998) Job security refers to a worker’s sense of having continuity of employment resulting from the possession of special skills, seniority or protection provided in a collective agreement against unforeseen change. (Saskatoon and District Labour Council, glossary of terms www.sfn.saskatoon. sk.ca/business/sdlc) Malnutrition is a state of poor nutrition that can result from an insuffi cient, excessive or unbalanced diet. It can also refer to the diffi culty or inability to absorb foods. Population health is an approach that aims to improve the health of the entire population and to reduce health inequities among population groups. In order to reach these objectives, it looks at and acts upon the broad range of factors and conditions that have a strong infl uence on our health. (Public Health Agency of Canada, What is Population Health?) Poverty is the state of being without adequate food, shelter or other basic necessities of life. In economic terms, there are two kinds of poverty: absolute and relative. Absolute poverty is a defi ned standard that has been agreed upon by experts and many countries. For many, absolute poverty also has two major classifi cations. Th ere is extreme poverty, where an individual lives on less than one dollar a day, and there is moderate poverty, where an individual lives on between one and two dollars Part VI Glossary of Key Terms 49
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    a day. Relativepoverty is dependent on the country or region, as well as the social context. (Ontario Association of Food Banks) Prevention is a proactive process that includes measures that not only prevent the occurrence of disease, such as risk factor reduction, but also arrest its progress and reduce its consequences once established. (adapted from the World Health Organization Health Promotion Glossary, 1998) Social exclusion describes the structures and processes of inequality among groups in society. In the Canadian context, social exclusion refers to the inability of certain groups or individuals to participate fully in Canadian life due to structural inequalities in access to social, economic, political and cultural resources. Th ese inequalities arise out of oppression related to race, class, gender, disability, sexual orientation, immigrant status and religion. (G.E. Galabuzi and R. Labonte in “Social Inclusion as a Determinant of Health”) Social inclusion is the capacity and willingness of our society to keep all groups within reach of what we expect as a society – the social commitment and investments necessary to ensure that socially and economically vulnerable people are within reach of our common aspirations, common life and its common wealth. (Laidlaw Foundation) Social justice is a concept based upon the belief that each individual and group within a given society has a right to civil liberties, equal opportunity, fairness, and participation in the educational, economic, institutional, social and moral freedoms and responsibilities valued by the community. (R. Degan and Dr. M. Disman in “Cultural Competency Handbook,” Department of Public Health Sciences, University of Toronto) Social support is defi ned as the assistance available to individuals and groups from within communities that can provide a buff er against adverse life events and living conditions, and can provide a positive resource for enhancing the quality of life. (World Health Organization Health Promotion Glossary, 1998) Sustainable agriculture is a method of farming that provides a secure living for farm families; maintains the natural environment and resources; supports the rural community; and off ers respect and fair treatment to all involved, from farm workers to consumers to the animals raised for food. Sustainable agriculture meets the needs of the current generation while conserving resources for the use of future generations. (Sustainable Table, www.bctheorganicway.com/glossary.htm) 50 Healthy Food, Healthy Community A Community Action Guide
  • 55.
    51 1. Agricultureand Agri-Food Canada, Food Security Bureau. Canada’s Action Plan for Food Security – A response to the World Food Summit, www.agr.gc.ca/ misb/fsb/fsb-bsa_e.php?page=index; accessed April 2006 2. Ibid; Facts About Food Security 3. Ibid; The World Food Summit 4. Dietitians of Canada (2005). Individual and Household Food Insecurity in Canada: Position of Dietitians of Canada. www.dietitians.ca/news/ downloads/Food_Insecurity_position.pdf; p 2. 5. Koc M et al. (eds). (1999). For Hunger-Proof Cities: Sustainable Urban Food Systems, Ottawa: International Development Research Centre, p 1. REFERENCES 1. Hamm, M.W. and Bellows, A.C. Community Food Security and Nutrition Educators. Journal of Nutrition, Education and Behavior. 2003; 35: pp. 27-43 2. Ontario Public Health Association (1995). Food for Now and the Future, Discussion Paper, www.opha. on.ca/foodnet/foodfornow.html 3. Koc M et al. (eds). (1999). For Hunger-Proof Cities: Sustainable Urban Food Systems, Ottawa: International Development Research Centre, p 1. 4. Middlesex-London Health Unit and London Community Resource Centre (2003). Get Cooking: Collective Kitchen Handbook 5. Tarasuk, V. (2001). Discussion Paper on Household and Individual Food Insecurity. www.hc-sc.gc.ca/fn-an/ nutrition/pol/food_sec_entire-sec_aliments_ entier_e.html 6. Hamelin A.M., Beaudry M. Habicht J.P. (2002) Characterization of household food insecurity in Quebec: food and feelings. Soc Sci Med 2002; 54(1):119-32. 7. Ibid; p 129. 8. Ontario Public Health Association (2002). A Systemic Approach to Community Food Security: A Role for Public Health, www.opha.on.ca/ ppres/2002-01_pp.pdf Introduction Part One – From the Root Up: Community Food Security Defi ned VII
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    9. Ontario PreventionClearinghouse in collaboration with the Ontario Healthy Communities Coalition (1994). Using Stories to Guide Action. www.opc. on.ca/english/our_programs/hlth_promo/ resources/stories/sec_1.pdf 10. Dietitians of Canada (2005). Individual and Household Food Insecurity in Canada: Position of Dietitians of Canada. www.dietitians.ca/news/ downloads/Food_Insecurity_position.pdf; p 1 11. Ibid; p 3. Part Two – You Are What You Eat: Food Security Health 1. Wilkinson R. and Marmot M. (eds) (2003). Social Determinants of Health – The Solid Facts, 2nd edition. Copenhagen: World Health Organization. www.euro.who.int/document/e81384.pdf; p 11. 2. Ontario Prevention Clearinghouse (2006). The Case for Prevention: Moving upstream to Improve Health for all Ontarians; p 4. 3. Edwards P. in collaboration with Health Canada. (2002). The Social Determinants of Health: An Overview of the Implications for Policy and the Role of the Health Sector. www.phac-aspc.gc.ca/ph-sp/ phdd/overview_implications/01_overview.html; p 1. 4. Strengthening the Social Determinants of Health: The Toronto Charter for A Healthy Canada (2002). www.socialjustice.org; p 1. 5. Edwards P. in collaboration with Health Canada. (2002). The Social Determinants of Health: An Overview of the Implications for Policy and the Role of the Health Sector. http://www.phac-aspc.gc.ca/ ph-sp/phdd/overview_implications/01_overview. html; p 3. 6. Shaw M., Darling D., Gordon D. and Davey Smith G. (1999). The Widening Gap: Health Inequalities and Policy in Britain. Bristol: The Policy Press. 7. Wilkinson R. and Marmot M. (eds) (2003). Social Determinants of Health – The Solid Facts, 2nd edition. Copenhagen: World Health Organization. http://www.euro.who.int/document/e81384.pdf; p 10. 8. Ibid; p 26. 9. Garriguet, Didier. Overview of Canadians’ Eating Habits 2004: Nutrition: Findings from the Canadian Community Health Survey. Statistics Canada 2006. pg. 14 10. Strengthening the Social Determinants of Health: The Toronto Charter for A Healthy Canada (2002). www. socialjustice.org; p 2. 11. Edwards P. in collaboration with Health Canada. (2002). The Social Determinants of Health: An Overview of the Implications for Policy and the Role of the Health Sector. www.phacaspc.gc.ca/phsp/ phdd/overview_implications/01_overview.html; p 2 – Health Canada 12. Strengthening the Social Determinants of Health: The Toronto Charter for A Healthy Canada (2002). www. socialjustice.org; p 1. 13. Wilkinson R. and Marmot M. (eds) (2003). Social Determinants of Health – The Solid Facts, 2nd edition. Copenhagen: World Health Organization. www.euro.who.int/document/e81384.pdf; p 26. 14. Ibid; p 26. 15. Ibid; p 26. 16. Statistics Canada. (1997). Selected Leading Causes of Death by Sex. www40.statcan.ca/l01/cst01/ health36.htm 17. World Health Organization. Chronic Diseases and Health Promotion www.who.int/chp/about/ integrated_cd/en/; accessed April 2006 18. Statistics Canada. (1997). Selected Leading Causes of Death by Sex. www40.statcan.ca/l01/cst01/ health36.htm 19. Wilkinson R. and Marmot M. (eds) (2003). Social Determinants of Health – The Solid Facts, 2nd edition. Copenhagen: World Health Organization. www.euro.who.int/document/e81384.pdf; p 26. 20. World Health Organization. Global Strategy on Diet, Physical Activity and Health: Chronic Disease Risk Factors. www.who.int/dietphysicalactivity/ publications/facts/riskfactors/en/index.html; accessed April 2006. 21. Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada. Health Topics: Chronic Disease. www.phac-aspc.gc.ca/ccdpc-cpcmc/ topics/chronic-disease_e.html; accessed April 2006. 52 Healthy Food, Healthy Community A Community Action Guide
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    22. Sierra Clubof Canada. Agriculture, Climate Change and Health. www.sierraclub.ca/national/programs/ health-environment/food-agriculture/campaign. shtml?x=840; accessed April 2006. 23. Hood, E. (2005). Dwelling Disparities: How Poor Housing Leads to Poor Health. National Institute of Environmental Health Sciences, Environmental Health Perspectives May 2005; 113(5) www. ehponline.org/members/2005/113-5/focus.html 24. Region of Waterloo Public Health. A Glance at Access to Food. September, 2004) 25. Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada. Health Topics: Immigrant Health. http://www.phac-aspc.gc.ca/ ccdpc-cpcmc/topics/immigrant_e.html; accessed April 2006. 26. Ibid. 27. Region of Waterloo Public Health. A Glance at Diet, Weight and Diabetes. October 2004. 28. Haydon E et. al. (2006). Chronic Disease in Ontario and Canada: Determinants, Risk Factors and Prevention Priorities. Ontario Chronic Disease Prevention Alliance the Ontario Public Health Association. www.cdpac.ca/content/pdf/ CDPsummary%20report.pdf 29. World Health Organization and The Public Health Agency of Canada. (2005). Preventing Chronic Diseases: A Vital Investment. www.who.int/chp/ chronic_disease_report/en; p 15. Part Three – Digging Deeper: Community Food Security Issues 1. Wilkinson R. and Marmot M. (eds) (2003). Social Determinants of Health – The Solid Facts, 2nd edition. Copenhagen: World Health Organization. www.euro.who.int/document/e81384.pdf; p 17. 2. Dietitians of Canada (2005). Individual and Household Food Insecurity in Canada: Position of Dietitians of Canada. www.dietitians.ca/news/ downloads/Food_Insecurity_position.pdf; p 6. 3. Toronto Charter for a Healthy Canada. (2002). Online at: www.socialjustice.org; p 2. 4. Dietitians of Canada (2005). Individual and Household Food Insecurity in Canada: Position of Dietitians of Canada. www.dietitians.ca/news/ downloads/Food_Insecurity_position.pdf; p 7. 5. Ibid. 6. Ibid. 7. Region of Waterloo Public Health. A Glance at Access to Food. Sept., 2004.new 8. Region of Waterloo Public Health. The Cost of Healthy Eating in Waterloo Region. 2005 9. Dieticians of Canada (2005). Individual and Household Food Insecurity in Canada: Position of Dieticians of Canada. http://www.dietitians. ca/news/downloads/Food Insecurity_position.pdf; p 7 10. Canadian Council on Social Development. (2002). Child poverty rates by province, Canada, 1990 - 1996. www.ccsd.ca/factsheets/fscphis2.htm. 11. Driscoll, A.K. Moore, K.A. (1999). The relationship of welfare receipt to child outcomes. Journal of Family and Economic Issues, 20(1), 85–113. 12. Ontario Campaign 2000, Toronto. (2003). 2003 Report Card on Child Poverty in Ontario. www. campaign2000.ca/rc/ONrc03/ONrcO3eng.pdf; p 2. 13. Wilkinson R. and Marmot M. (eds) (2003). Social Determinants of Health – The Solid Facts, 2nd edition. Copenhagen: World Health Organization. www.euro.who.int/document/e81384.pdf; p 17. 14. Galabuzi G.E Labonte R. Population Health: Social Inclusion as a Determinant of Health. Public Health Agency of Canada, www.phac-aspc.gc.ca/ph-sp/ phdd/overview_implications/03_inclusion.html. Accessed April 2006. 15. Agriculture and Agri-Food Canada, Food Security Bureau. Canada’s Action Plan for Food Security – A response to the World Food Summit, www.agr.gc.ca/ misb/fsb/fsb-bsa_e.php?page=index; accessed April 2006 16. Toronto Charter for a Healthy Canada. (2002). Online at: www.socialjustice.org; p 2. 17. Ontario Prevention Clearinghouse ( 2006). The Case for Prevention: Moving upstream to Improve Health for all Ontarians; p 9. 18. Ibid. 19. Kennedy, Gerard. (2004). Making Ontario Schools Healthier Places to Learn. Ministry of Education, Government of Ontario. www.edu.gov.on.ca/eng/ document/reports/healthyschools/report.pdf; p 2. Part VII References 53
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    20. Canadian NursesAssociation. (2001). Position Statement: Food Safety and Security are Determinants of Health. www.cna-nurses.ca/CNA/ issues/position/primary/default_e.aspx; p 1. 21. Kennedy, Gerard. (2004). Making Ontario Schools Healthier Places to Learn. Ministry of Education, Government of Ontario. www.edu.gov.on.ca/eng/ document/reports/healthyschools/report.pdf; p 2. 22. Canadian Nurses Association. (2001). Position Statement: Food Safety and Security are Determinants of Health; p 1. 23. Wilkinson R. and Marmot M. (eds) (2003). Social Determinants of Health – The Solid Facts, 2nd edition. Copenhagen: World Health Organization. www.euro.who.int/document/e81384.pdf; p 26. 24. Food Security Projects, Nova Scotia Nutrition Council the Atlantic Health Promotion Research Centre, Dalhousie University. (2005). Thought About Food? A Workbook on Food Security Infl uencing Policy. www.foodthoughtful.ca; p 11. 25. Ibid. 26. Breakfast for Learning, Canadian Living Foundation. Resources: Childhood Obesity in Canada. www.breakfastforlearning.ca. Accessed April, 2006. 27. Ibid. 28. Media Awareness Network. Cereal and Junk Food Advertising Handout. www.mediaawarness.ca. Accessed April 2006. 29. Tremblay MS, Willms JD. (2000). Secular trends in the body mass index of Canadian children. www. cma.ca/cmaj/vol-163/issue-11/1429.htm[Abstract/ Full Text] CMAJ 2000;163(11):1429-33. 30. Kennedy, Gerard. (2004). Making Ontario Schools Healthier Places to Learn. Ministry of Education, Government of Ontario. www.edu.gov.on.ca/eng/ document/reports/healthyschools/report.pdf; p 4. 31. Ibid; p 2. 32. Breakfast for Learning, Canadian Living Foundation. Our Mission: Nourishing Canada’s Children. www.breakfastforlearning.ca. Accessed April 2006. 33. Ontario Prevention Clearinghouse (February 2006). The Case for Prevention: Moving upstream to Improve Health for all Ontarians; p 6. 34. Breakfast for Learning, Canadian Living Foundation. Our Mission: Nourishing Canada’s Children. www.breakfastforlearning.ca. Accessed April 2006. 35. Veugelers PJ, PhD Fitzgerald AL, MSc. (2005). Eff ectiveness of School Programs in Preventing Childhood Obesity: A Multilevel Comparison. American Journal of Public Health: March 2005, Vol. 95, No.3 200595:432 435. 36. Ontario Prevention Clearinghouse (2006). The Case for Prevention: Moving upstream to Improve Health for all Ontarians; p 4. 37. World Health Organization. Health Impact Assessment: The Determinants of Health. www.who. int/hia/evidence/doh/en/; accessed April 2006. 38. Region of Waterloo Public Health. A Glance at Access to Food. Sept., 2004.new 39. Ministry of Public Infrastructure Renewal. Places to Grow – Growth Plan for the Greater Golden Horseshoe. 2006 new 40. Barbolet B. (2002). Bringing Food Back Home. Shared Vision Magazine, August 2002. 41. Ibid. 42. Farming Solutions. Background: The Future of Farming. www.farmingsolutions.org; accessed April 2006. 43. Shamley F and Jacobs A. (2001). Farming and You: Re-examining the Relationship Between Farmers and Consumers. Ontario Healthy Communities Coalition Update: Spring/Summer 2001; p 10. 44. World Health Organization, Food Safety site. Chemical Risks in Food. www.who.int/foodsafety/ chem/en/ accessed April 2006. 45. Ibid. 46. Canada’s Digital Collections, Government of Canada. Agromedia: Biotechnology, Major Concerns. http://collections.ic.gc.ca/highway/english/index. html; accessed April 2006. 47. Desjardins, E. et al. Protecting Our Food Supply – Public Health Implications of Food Biotechnology. Ontario Public Health Association. 2001 accessed on-line Sept. 20, 2006 at www.opha.on.ca/ ppres/2001-01_pp.pdf new 48. Canadian Nurses Association. (2001). Position Statement: Food Safety and Security are Determinants of Health; p 1. 54 Healthy Food, Healthy Community A Community Action Guide
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